Provider Demographics
NPI:1013740612
Name:NEIGHBORHOOD HOUSING SERVICES OF THE SOUTH SHORE
Entity type:Organization
Organization Name:NEIGHBORHOOD HOUSING SERVICES OF THE SOUTH SHORE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELICA
Authorized Official - Middle Name:V
Authorized Official - Last Name:GOMEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-422-4200
Mailing Address - Street 1:422 WASHINGTON STREET
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02169
Mailing Address - Country:US
Mailing Address - Phone:781-422-4200
Mailing Address - Fax:
Practice Address - Street 1:169 SUMMER STREET
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:MA
Practice Address - Zip Code:02364
Practice Address - Country:US
Practice Address - Phone:781-422-4200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-21
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management