OrganizationActive
Prospect House
NPI 1962625392 · Assisted Living Facility · Revere, MA
Prospect House is a Assisted Living Facility organization in Revere, MA (NPI 1962625392).
Provider details
- NPI number
- 1962625392
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Shawn Bertram, Executive Director(781) 853-0005
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
420 Reservoir Ave
Revere, MA 02151-5819
Phone: (781) 853-0005
Street-level locationGet directions
Mailing address
420 Reservoir Ave
Revere, MA 02151-5819
Registry dates
- Enumerated
- 2007-04-11
- Last updated
- 2020-08-22
Frequently asked questions
- What is Prospect House's NPI number?
- Prospect House's National Provider Identifier (NPI) is 1962625392, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prospect House?
- Prospect House is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Prospect House located?
- Prospect House's practice location on file with NPPES is 420 Reservoir Ave, Revere, MA 02151-5819.
- What is Prospect House's phone number?
- The practice phone number listed in the NPPES registry for Prospect House is (781) 853-0005.
- Who is the authorized official for Prospect House?
- The authorized official listed on Prospect House's NPPES record is Shawn Bertram, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prospect House's NPI active?
- Yes — Prospect House's NPI (1962625392) is active in the NPPES registry as of the last update on 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.