Provider Demographics
NPI:1942285291
Name:HOME FOR AGED WOMEN, INC.
Entity type:Organization
Organization Name:HOME FOR AGED WOMEN, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF ACCOUNTING & FINANCIAL
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:J
Authorized Official - Last Name:SEXTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-549-8507
Mailing Address - Street 1:165 CHESTNUT STREET
Mailing Address - Street 2:
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02445-7573
Mailing Address - Country:US
Mailing Address - Phone:617-731-8500
Mailing Address - Fax:617-731-5188
Practice Address - Street 1:165 CHESTNUT STREET
Practice Address - Street 2:
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02445-7573
Practice Address - Country:US
Practice Address - Phone:617-731-8500
Practice Address - Fax:617-731-5188
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-09
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA860314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0999172Medicaid
MA0999172Medicaid