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PINE STREET INN, INC.
NPI 1639337280
Residential Treatment Facility, Physical Disabilities in Dorchester Center, MA

Active since May 30, 2008
28 ROCKWELL ST, DORCHESTER CENTER, MA 02124(617) 892-8802(617) 825-9020 Get Directions Write a Review

NPPES record last updated: May 30, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pine Street Inn, Inc. NPPES

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

PINE STREET INN, INC. (NPI 1639337280) is a healthcare organization registered as a residential treatment facility, physical disabilities in Dorchester Center, Massachusetts and active in the NPI registry since May 2008. The organization lists Terrence B Gagne, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1639337280
Entity TypeOrganization
Primary Taxonomy320700000X
Legal Business NamePINE STREET INN, INC.
Location Address28 ROCKWELL STDorchester Center, MA 02124-4438
Mailing Address444 Harrison AveBoston, MA 02118-2404 · (617) 482-4944 · Fax (617) 451-1890
Phone(617) 892-8802
Fax(617) 825-9020
Organization SubpartNo
Authorized OfficialTerrence B GagneChief Financial Officer · (617) 892-9116
Enumeration DateMay 30, 2008
✔ NPI 1639337280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Physical DisabilitiesResidential Treatment Facilities
Taxonomy Code320700000X
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
28 ROCKWELL ST, Dorchester Center, MA 02124
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Other Identifiers 1

Medicaid1803492MA

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 Pine Street Inn, Inc.'s NPI number?

The NPI number for Pine Street Inn, Inc. is 1639337280. It was assigned to this organization in the NPPES registry on May 30, 2008.

Where is Pine Street Inn, Inc. located?

Pine Street Inn, Inc. is located at 28 Rockwell St, Dorchester Center, MA 02124. The listed phone number is (617) 892-8802.

What is Pine Street Inn, Inc.'s specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Physical Disabilities with taxonomy code 320700000X.

When was this NPI record last updated?

The NPPES record for Pine Street Inn, Inc. was last updated on May 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.