NPI 1609733757 · live from the CMS NPI Registry
405 River Street Operating Company, LLC
Skilled Nursing Facility in Mattapan, MA. National Provider Identifier 1609733757, active.
NPI record
| NPI | 1609733757 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 405 River St, Mattapan, MA 02126 |
| Practice phone | 617-296-5585 |
| Enumerated | January 8, 2026 |
| Last updated | April 15, 2026 |
| Authorized official | Jeffrey Rubin, Authorized Official |
| Other names | Care Village At Mattapan |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.