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Pine Street Inn, Inc.

Physical Disabilities Residential Treatment Facility in Dorchester Center, MA · enumerated 2008 · authorized official Terrence Gagne, Chief Financial Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1639337280

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Registry record

Entity type Organization (Type 2)
Legal business name Pine Street Inn, Inc.
Practice address 28 Rockwell St, Dorchester Center, MA, 02124
Fax (617) 825-9020
Enumeration date May 30, 2008
Last updated in NPPES May 30, 2008

Taxonomy & classification

320700000X Physical Disabilities Residential Treatment Facility Residential Treatment Facilities Primary

Authorized official

Name Terrence Gagne
Title Chief Financial Officer

Other identifiers

Identifier Type State Issuer
1803492 Medicaid MA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Pine Street Inn, Inc.?
Pine Street Inn, Inc. is registered in NPPES as a Physical Disabilities Residential Treatment Facility (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-05-30.