Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

South Cove Manor, Inc

Organization Skilled Nursing Facility · NPI 1407859564

South Cove Manor, Inc is a Skilled Nursing Facility in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2005.

Licensed in
MA
In the registry since
2005
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

120 Shawmut Ave
Boston, MA 02118-2293
Phone: (617) 423-0590
Fax: (617) 292-7922
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 0876 (MA)

Record details

NPI number1407859564
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Wong — President / Ceo · (617) 423-0590
Other names South Cove Manor
NPI enumeratedMay 23, 2005
Last updated in NPPESApril 1, 2014
Mailing address120 Shawmut Avenue, Boston, MA 02118-2293

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