405 River Street Operating Company, LLC
NPI 1609733757ActiveOrganization· Skilled Nursing Facility· Mattapan, MA
Skilled Nursing Facility in Mattapan, Massachusetts, registered in NPPES in January 2026. The authorized official on file is Jeffrey Rubin, Authorized Official.
Overview
| NPI | 1609733757 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 8, 2026 |
| Last updated in NPPES | Apr 15, 2026 |
| Certified by provider | Apr 15, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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