South Cove Manor – Skilled Nursing Facility, NPI 1407859564

South Cove Manor is a healthcare provider. based in Boston, Massachusetts. specializing in Skilled Nursing Facility. The organization holds a License No. 0876 (MA). The NPI Number for South Cove Manor is 1407859564

Main info

Organization
Name
South Cove Manor
NPI
1407859564
Phone
(617) 423-0590
Address
120 SHAWMUT AVENUE
Authorized Official
MR. RICHARD WONG PRESIDENT / CEO
Enumeration Date
23 May 2005
Last Update Date
1 April 2014
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness80
Years active:21State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for South Cove Manor

  • Boston Chinese Evangelical Church, 120, Shawmut Avenue, South End, Boston, Suffolk County, Massachusetts, 02118, United States

    BOSTON, MA 021182293

    Phone: (617) 423-0590

    Fax: (617) 292-7922

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02118)

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Reviews

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Frequently asked questions

What number should I use to identify South Cove Manor for billing?
Administrative and clinical systems typically use NPI 1407859564 for South Cove Manor.
Is South Cove Manor currently accepting referrals based on NPI status?
Registry metadata lists South Cove Manor as active.
Which specialty label fits South Cove Manor?
NPPES ties South Cove Manor to Skilled Nursing Facility in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit South Cove Manor in Boston, Massachusetts?
For routing, start with Boston, Massachusetts for South Cove Manor, then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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