Healthcare Provider Details

I. General information

NPI: 1144164732
Provider Name (Legal Business Name): WASHINGTON HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2026
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5264 WASHINGTON ST STE 10
BOSTON MA
02132-6320
US

IV. Provider business mailing address

5264 WASHINGTON ST STE 10
BOSTON MA
02132-6320
US

V. Phone/Fax

Practice location:
  • Phone: 617-475-2400
  • Fax: 617-337-5051
Mailing address:
  • Phone: 617-475-2400
  • Fax: 617-337-5051

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ANTHONY JEAN BAPTISTE
Title or Position: CEO
Credential:
Phone: 617-475-2400