# NICHOLAS AND MATTIE CENTER FOR THE HOMELESS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Nicholas and Mattie Center for the Homeless
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962177311
- **Authorized official:** MRS. TENESHA SHANKS-OKWARA HHP (FOUNDER)
- **Authorized official phone:** (860) 840-8774

## Contact information

- **Practice address:** 12 MADISON ST \# 1L, HYDE PARK, MA 02136-2632
- **Practice address phone:** (860) 840-8774
- **Mailing address:** 12 MADISON ST \# 1L, HYDE PARK, MA 02136-2632
- **Mailing address phone:** (860) 840-8774

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/09/2021
- **Last updated:** 08/09/2021