MEDICARE: BOSTON HOME INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility	0463	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811990930
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BOSTON HOME INC

Provider Business Mailing Address
First Line	:	2049 DORCHESTER AVE
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02124-4742
Country	:	US
Telephone Number	:	617-825-3905
Fax Number	:	617-825-1951

Provider Business Practice Location Address
First Line	:	2049 DORCHESTER AVE
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02124-4742
Country	:	US
Telephone Number	:	617-825-3905
Fax Number	:	617-825-1951

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	MRS. CHRISTINE REILLY
Credential	:	LNHA
Telephone Number	:	617-326-4265

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	07/01/2020

Similar Medicare Providers

1801823620 — DR. JASON P BLOCK MD
Practice Location Address:

75 FRANCIS STREET , BRIGHAM INTERNAL MEDICARE ASSOCIATES
BOSTON, MA
02115

Practice Phone: 617-732-6049
Practice Fax: 617-264-5202

1922766211 — ALOONEE ADHIKARI FNP
Practice Location Address:

956 BOSTON PROVIDENCE TPKE
NORWOOD, MA
02062-4742

Practice Phone: 671-395-4400
Practice Fax: 671-395-4400

1629279294 — MR. DAVID YOUNG HONG OTR-L
Practice Location Address:

2049 DORCHESTER AVE
DORCHESTER CENTER, MA
02124-4742

Practice Phone: 617-825-3905
Practice Fax: 617-825-1951

1871735811 — MR. KEVIN BERNER MS OTR/L
Practice Location Address:

2049 DORCHESTER AVE
DORCHESTER CENTER, MA
02124-4742

Practice Phone: 617-825-3905
Practice Fax:

1699625822 — FAHMIDA PASHA
Practice Location Address:

2235 DORCHESTER AVE
BOSTON, MA
02124-5623

Practice Phone: 617-296-1025
Practice Fax:

1396731832 — DR. RENEE M CRICHLOW MD
Practice Location Address:

637 WASHINGTON ST
BOSTON, MA
02124-3510

Practice Phone: 612-302-8209
Practice Fax:

Directions to “BOSTON HOME INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.