Organization
PROSPECT HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN BERTRAM (EXECUTIVE DIRECTOR)
(781) 853-0005
Entity
Organization
Contact information
Practice address
420 RESERVOIR AVE, REVERE, MA 02151-5819
(781) 853-0005
Mailing address
420 RESERVOIR AVE, REVERE, MA 02151-5819
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1905139
—
MA
Enumeration date
04/11/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us