Provider Demographics
NPI:1538331343
Name:ROGERSON HOUSE
Entity Type:Organization
Organization Name:ROGERSON HOUSE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:SEAGLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-469-5800
Mailing Address - Street 1:434 JAMAICAWAY
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02130-2009
Mailing Address - Country:US
Mailing Address - Phone:617-983-2300
Mailing Address - Fax:617-469-2666
Practice Address - Street 1:434 JAMAICAWAY
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02130-2009
Practice Address - Country:US
Practice Address - Phone:617-983-2300
Practice Address - Fax:617-469-2666
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-01
Last Update Date:2008-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MACERTIFICATION310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility