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NA
NPI 1780005330
Nursing Facility/Intermediate Care Facility in Boston, MA

Active since December 30, 2013
580 SHAWMUT AVE, APT 1A, BOSTON, MA 02118(617) 275-9385 Get Directions Write a Review

NPPES record last updated: December 30, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Na NPPES

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

NA (NPI 1780005330) is a healthcare organization registered as a nursing facility/intermediate care facility in Boston, Massachusetts and active in the NPI registry since December 2013. The organization lists Nosayaba Esther Izedonmwen, Registered Nurse, as its authorized official.

NPPES Registry Identity

NPI1780005330
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameREGISTERED NURSE AGENCY
Location Address580 SHAWMUT AVE, APT 1ABoston, MA 02118-1775
Mailing Address580 Shawmut Ave Apt 1aBoston, MA 02118-1775 · (617) 275-9385
Phone(617) 275-9385
Organization SubpartNo
Authorized OfficialNosayaba Esther IzedonmwenRegistered Nurse · (617) 275-9385
Enumeration DateDecember 30, 2013
✔ NPI 1780005330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
License✔ Licensed in MA · 2268310
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
580 SHAWMUT AVE, Boston, MA 02118
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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 Registered Nurse Agency's NPI number?

The NPI number for Registered Nurse Agency is 1780005330. It was assigned to this organization in the NPPES registry on December 30, 2013.

Where is Registered Nurse Agency located?

Registered Nurse Agency is located at 580 Shawmut Ave Apt 1A, Boston, MA 02118. The listed phone number is (617) 275-9385.

What is Registered Nurse Agency's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

When was this NPI record last updated?

The NPPES record for Registered Nurse Agency was last updated on December 30, 2013. 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.