MOUNT PLEASANT HOME
NPI 1942296793
Custodial Care Facility - Adult Care Home in Jamaica Plain, MA

Active since September 26, 2005CLIA 22D1079685 · Waiver
301 S HUNTINGTON AVE, JAMAICA PLAIN, MA 02130(617) 522-7600(617) 522-0201 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mount Pleasant Home NPPES

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

MOUNT PLEASANT HOME (NPI 1942296793) is a healthcare organization registered as an adult care home in Jamaica Plain, Massachusetts and active in the NPI registry since September 2005. The organization holds a CLIA Waiver certificate valid through February 4, 2028 and lists Merlin Southwick, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1942296793
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameMOUNT PLEASANT HOME
Location Address301 S HUNTINGTON AVEJamaica Plain, MA 02130-4807
Mailing Address301 S Huntington AveJamaica Plain, MA 02130-4807 · (617) 522-7600 · Fax (617) 522-0201
Fax(617) 522-0201
Organization SubpartNo
Authorized OfficialMerlin SouthwickExecutive Director · (617) 522-7600
Enumeration DateSeptember 26, 2005
Last NPPES UpdateAugust 22, 2020
NPI 1942296793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License Licensed in MA · 1096 (DEPT PUB HLTH)
Definition

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

301 S HUNTINGTON AVE, Jamaica Plain, MA 02130

Other Identifiers 1

Medicaid5500923MA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 22D1079685

Mount Pleasant Home · Boston, MA
Active · expires Feb 4, 2028
CLIA Number22D1079685
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateFebruary 5, 2026
Certificate Expiration DateFebruary 4, 2028
Laboratory DirectorMerlin G. Southwick
Laboratory Phone(617) 522-7600
Laboratory LocationMount Pleasant Home301 South Huntington Avenue, Boston, MA 02130
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

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

Pharmacist
301 S HUNTINGTON AVE, BRIGHAM WOMEN'S ADVANCED PRIMARY CARE, SOUTH HUNTINGTON
JAMAICA PLAIN, MA 02130
Pharmacist (Ambulatory Care)
301 S HUNTINGTON AVE
JAMAICA PLAIN, MA 02130
Dietitian, Registered
301 S HUNTINGTON AVE, BRIGHAM & WOMEN'S ADVANCED PRIMARY CARE ASSOCIATES, SH
JAMAICA PLAIN, MA 02130
Physician Assistant
301 S HUNTINGTON AVE
JAMAICA PLAIN, MA 02130
Physician Assistant
301 S HUNTINGTON AVE
JAMAICA PLAIN, MA 02130
Internal Medicine
301 S HUNTINGTON AVE
BOSTON, MA 02130
Physician Assistant
301 S HUNTINGTON AVE
BOSTON, MA 02130
Internal Medicine
301 S HUNTINGTON AVE
JAMAICA PLAIN, MA 02130

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 Mount Pleasant Home's NPI number?

The NPI number for Mount Pleasant Home is 1942296793. It was assigned to this organization in the NPPES registry on September 26, 2005.

Where is Mount Pleasant Home located?

Mount Pleasant Home is located at 301 S Huntington Ave, Jamaica Plain, MA 02130. The listed phone number is (617) 522-7600.

What is Mount Pleasant Home's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Does Mount Pleasant Home hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D1079685) is associated with this NPI, valid through February 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mount Pleasant Home was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.