Healthcare Provider Details

I. General information

NPI: 1043336357
Provider Name (Legal Business Name): HEARTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2007
Last Update Date: 12/09/2024
Certification Date: 12/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1640 WASHINGTON ST
BOSTON MA
02118-3380
US

IV. Provider business mailing address

1640 WASHINGTON ST
BOSTON MA
02118-3380
US

V. Phone/Fax

Practice location:
  • Phone: 617-369-1550
  • Fax: 617-369-1566
Mailing address:
  • Phone: 617-369-1557
  • Fax: 617-369-1566

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ANDREW COLE
Title or Position: VP OF FINANCE
Credential:
Phone: 207-251-8318