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SOUTHAMPTON STREET SHELTER
NPI 1780827394
Clinic/Center - Federally Qualified Health Center (FQHC) in Boston, MA

Active since April 13, 2009
112 SOUTHAMPTON ST, BOSTON, MA 02118(617) 534-2881 Get Directions Write a Review

NPPES record last updated: May 23, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southampton Street Shelter NPPES

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

SOUTHAMPTON STREET SHELTER (NPI 1780827394) is a healthcare organization registered as a federally qualified health center (fqhc) in Boston, Massachusetts and active in the NPI registry since April 2009. The organization lists Agnes W Leung, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1780827394
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameBOSTON HEALTH CARE FOR THE HOMELESS PROGRAM, INC.
Location Address112 SOUTHAMPTON STBoston, MA 02118
Mailing Address780 Albany StBoston, MA 02118-2755 · (857) 654-1227 · Fax (857) 654-1404
Phone(617) 534-2881
Organization SubpartNo
Authorized OfficialAgnes W LeungChief Financial Officer · (857) 654-1200
Enumeration DateApril 13, 2009
Last NPPES UpdateMay 23, 2018
✔ NPI 1780827394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
License✔ Licensed in MA · 4LQX
112 SOUTHAMPTON ST, Boston, MA 02118
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Other Names 1

Other NameSouthampton Street Shelter

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WALTER R HIGGS III
Social Worker
112 SOUTHAMPTON ST
BOSTON, MA 02118
Suffolk County (617) 534-6167
MS. JESSICA LEIGH BUCKLEY
Registered Nurse
112 SOUTHAMPTON ST
BOSTON, MA 02118
Suffolk County (617) 534-6100
JOVANICA CHAMPAGNE
Case Manager/Care Coordinator
112 SOUTHAMPTON ST
BOSTON, MA 02118
Suffolk County (617) 534-6167
SERENA J CARDOSO
Counselor (Mental Health)
112 SOUTHAMPTON ST
BOSTON, MA 02118
Suffolk County (617) 534-7098
CAMILLA K OSTROW
Social Worker (Clinical)
112 SOUTHAMPTON ST
BOSTON, MA 02118
Suffolk County (617) 534-6126

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 Boston Health Care For The Homeless Program, Inc.'s NPI number?

The NPI number for Boston Health Care For The Homeless Program, Inc. is 1780827394. It was assigned to this organization in the NPPES registry on April 13, 2009. The provider is also known as Southampton Street Shelter.

Where is Boston Health Care For The Homeless Program, Inc. located?

Boston Health Care For The Homeless Program, Inc. is located at 112 Southampton St, Boston, MA 02118. The listed phone number is (617) 534-2881.

What is Boston Health Care For The Homeless Program, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

When was this NPI record last updated?

The NPPES record for Boston Health Care For The Homeless Program, Inc. was last updated on May 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.