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405 River Street Operating Company, LLC — NPI 1609733757, Mattapan, MA | NPI Central

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NPI 1609733757

OrganizationActive

405 River Street Operating Company, LLC

NPI 1609733757 · Skilled Nursing Facility · Mattapan, MA

Provider details

NPI number: 1609733757
Entity type: Organization
Primary specialty: Skilled Nursing FacilityNursing & Custodial Care Facilities
Organization subpart: No
Authorized official: Jeffrey Rubin, Authorized Official(516) 413-6321

Specialties & taxonomies

Skilled Nursing FacilityPrimary314000000X
Nursing & Custodial Care Facilities

Practice location

405 River St

Mattapan, MA 02126-2210

Phone: (617) 296-5585

Approximate (ZIP-level) locationGet directions

More MA providers

Mailing address

405 River St

Mattapan, MA 02126-2210

Other names (DBA / former)

Doing business as: Care Village at Mattapan

Registry dates

Enumerated: 2026-01-08
Last updated: 2026-04-15
Certified: 2026-04-15

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.