OrganizationActive
Corey Assisted Living LLC
NPI 1225162415 · Assisted Living Facility · Brighton, MA
Provider details
- NPI number
- 1225162415
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Richard Johnson, Executive Director(617) 731-0505
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
180 Corey Rd
Brighton, MA 02135-8239
Phone: (617) 731-0505
Fax: (617) 731-0599
Approximate (ZIP-level) locationGet directions
Mailing address
180 Corey Rd
Brighton, MA 02135-8239
Other names (DBA / former)
- Doing business as
- Providence House Senior Living Community
Registry dates
- Enumerated
- 2007-03-16
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.