SOUTH COVE MANOR
NPI 1407859564
Skilled Nursing Facility in Boston, MA

Active since May 23, 2005
120 SHAWMUT AVENUE, BOSTON, MA 02118(617) 423-0590(617) 292-7922 Get Directions Write a Review

NPPES record last updated: April 1, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About South Cove Manor NPPES

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

SOUTH COVE MANOR (NPI 1407859564) is a healthcare organization registered as a skilled nursing facility in Boston, Massachusetts and active in the NPI registry since May 2005. The organization lists Richard Wong, President / Ceo, as its authorized official.

NPPES Registry Identity

NPI1407859564
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameSOUTH COVE MANOR, INC
Location Address120 SHAWMUT AVENUEBoston, MA 02118-2293
Mailing Address120 Shawmut AvenueBoston, MA 02118-2293 · (617) 423-0590 · Fax (617) 292-7922
Fax(617) 292-7922
Organization SubpartNo
Authorized OfficialRichard WongPresident / Ceo · (617) 423-0590
Enumeration DateMay 23, 2005
Last NPPES UpdateApril 1, 2014
NPI 1407859564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in MA · 0876
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
120 SHAWMUT AVENUE, Boston, MA 02118

Other Names 1

Doing Business AsSouth Cove Manor

Other Identifiers 2

Medicaid0916056MA
Medicare ID-Type Unspecified225514MA · Medicare Provider Number

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 South Cove Manor, Inc's NPI number?

The NPI number for South Cove Manor, Inc is 1407859564. It was assigned to this organization in the NPPES registry on May 23, 2005. The provider is doing business as South Cove Manor.

Where is South Cove Manor, Inc located?

South Cove Manor, Inc is located at 120 Shawmut Avenue, Boston, MA 02118. The listed phone number is (617) 423-0590.

What is South Cove Manor, Inc's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for South Cove Manor, Inc was last updated on April 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.