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PROVIDENCE HOUSE SENIOR LIVING COMMUNITY
NPI 1225162415
Assisted Living Facility in Brighton, MA

Active since March 16, 2007
180 COREY RD, BRIGHTON, MA 02135(617) 731-0505(617) 731-0599 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Providence House Senior Living Community NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVIDENCE HOUSE SENIOR LIVING COMMUNITY (NPI 1225162415) is a healthcare organization registered as an assisted living facility in Brighton, Massachusetts and active in the NPI registry since March 2007. The organization lists Richard Johnson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1225162415
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCOREY ASSISTED LIVING LLC
Location Address180 COREY RDBrighton, MA 02135-8239
Mailing Address180 Corey RdBrighton, MA 02135-8239 · (617) 731-0505 · Fax (617) 731-0599
Phone(617) 731-0505
Fax(617) 731-0599
Organization SubpartNo
Authorized OfficialRichard JohnsonExecutive Director · (617) 731-0505
Enumeration DateMarch 16, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1225162415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

180 COREY RD, Brighton, MA 02135
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Other Names 1

Doing Business AsProvidence House Senior Living Community

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Corey Assisted Living LLC's NPI number?

The NPI number for Corey Assisted Living LLC is 1225162415. It was assigned to this organization in the NPPES registry on March 16, 2007. The provider is doing business as Providence House Senior Living Community.

Where is Corey Assisted Living LLC located?

Corey Assisted Living LLC is located at 180 Corey Rd, Brighton, MA 02135. The listed phone number is (617) 731-0505.

What is Corey Assisted Living LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Corey Assisted Living LLC was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.