Covered Entity Details

CH01121I BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM, INC., THE (Active) - information as of 4/23/2025 10:53:53 PM

Main Details

Name

BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM, INC., THE

Subdivision Name

PINE STREET INN-MEN'S CLINIC

Type

HRSA-Funded Health Center

Site ID

BPS-H80-000419

340B ID

CH01121I

Grant Number

H80CS00006

Additional Details

Current Program Status

Active

Registration Date

7/1/2005

Participating Start Date

7/1/2005

Participating Approval Date

6/8/2005

Last Recertification Date

2/25/2025

Contacts

Authorizing Official

Boston Health Care for the Homeless Program
Nicole Collymore, Manger of Compliance and Legal Services
(857) 654-1081

Primary Contact

Boston Health Care for the Homeless Program
Stan McLaren, Chief Executive Officer
(857) 654-1002

Addresses

Street Address

444 Harrison Ave
Boston, MA 02118-2404

Billing Address

BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM, INC.
780 ALBANY STREET
BOSTON, MA 02118

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
History

Comments

Comment	Last Updated On
NEW SITE 7/1/05	08/11/2005

Medicaid Billing

At this site, will the covered entity bill Medicaid fee-for-service for drugs purchased at 340B prices?
Yes

State	Medicaid Number	NPI Number
MA	110020876I	1205080348,1033157771

Shipping Addresses

Shipping Address 1

BARBARA MCINNIS HOUSE CLINIC AND INHOUSE PHARMACY
780 ALBANY STREET
BOSTON, MA 02118

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Carve-In Effective Date	Termination Date	Last Updated On
No records to display.

Grantee Sites

340B ID	340B Status	SiteId	Name	Sub Name	Address	Address Cont.	City	State
CH011210	Active	BPS-H80-007549	BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM, INC., THE	Jean Yawkey Place	780 Albany Street		Boston	MA
CH01121AI	Active	BPS-H80-015245	BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM, INC., THE	Southampton Street Shelter	112 Southampton St		Boston	MA
CH01121AJ	Active	BPS-H80-000559	BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM, INC., THE	NEW ENGLAND CENTER and HOME for VETERANS	17 Court St		BOSTON	MA
CH01121AK	Active	BPS-H80-003013	BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM, INC., THE	PINE STREET INN Women's Clinic	363 Albany St		Boston	MA
CH01121AL	Terminated	BPS-H80-006673	BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM, INC., THE	Safe Harbor	112 Southhampton Street		Boston	MA
CH01121AM	Active	BPS-H80-007186	BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM, INC., THE	Entre Familia	209 River St		Mattapan	MA
CH01121AN	Terminated	BPS-H80-007317	BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM, INC., THE	Families in Transition	316 Huntington Ave		Boston	MA
CH01121AP	Terminated	BPS-H80-006129	BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM, INC., THE	Temporary Home for Women and Children	41 New Chardon St		Boston	MA
CH01121AQ	Terminated	BPS-H80-005915	BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM, INC., THE	Revision House	38 Fabyan Street		Dorchester	MA
CH01121AR	Active	BPS-H80-006631	BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM, INC., THE	EMPath	10 Perthshire Rd		Brighton	MA
CH01121AS	Terminated	BPS-H80-006963	BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM, INC., THE	Sojourner House	85 Rockland St		Roxbury	MA
CH01121AT	Terminated	BPS-H80-005832	BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM, INC., THE	Asian Task Force Against Domestic Violence	bhchp	780 Albany Street	Boston	MA
CH01121AU	Terminated	BPS-H80-006418	BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM, INC., THE	Finex House	780 Albany Street		Boston	MA
CH01121AV	Terminated	BPS-H80-006502	BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM, INC., THE	St. Ambrose	25 Leonard St		Dorchester	MA
CH01121AW	Active	BPS-H80-014330	BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM, INC., THE	Bridge Over Troubled Waters	47 WEST ST		BOSTON	MA
CH01121AX	Active	BPS-H80-017297	BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM, INC., THE	Mobile Van #1	780 Albany St.		Boston	MA
CH01121AY	Active	BPS-H80-006350	BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM, INC., THE	St. Mary's Center for Women & Children (Bridge Home, Margaret's House, Mary's Home)	90 Cushing Ave		Dorchester	MA
CH01121AZ	Active	BPS-H80-006338	BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM, INC., THE	Rosie's Place	889 Harrison Ave		Boston	MA
CH01121BA	Terminated	BPS-H80-007423	BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM, INC., THE	Casa Nueva Vida	53 Glen Rd		Jamaica Plain	MA
CH01121BB	Terminated	BPS-H80-006343	BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM, INC., THE	Project Hope	45 Magnolia St		Dorchester	MA
CH01121BC	Active	BPS-H80-006136	BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM, INC., THE	Women's Lunch Place	67 Newbury St		Boston	MA
CH01121BD	Terminated	BPS-H80-006226	BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM, INC., THE	Crossroads Family Shelter	56 Havre St		Boston	MA
CH01121BE	Active	BPS-H80-006157	BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM, INC., THE	Woods Mullen Shelter	794 Massachusetts Ave		Boston	MA
CH01121BF	Terminated	BPS-H80-006481	BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM, INC., THE	Pilgrim Shelter	540 Columbia Rd		Dorchester	MA
CH01121BG	Active	BPS-H80-028179	BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM, INC., THE	Casa Esperanza	245 Eustis St		Roxbury	MA
CH01121BH	Active	BPS-H80-007440	BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM, INC., THE	Kingston House	39 Kingston St		Boston	MA
CH01121BJ	Active	BPS-H80-009564	BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM, INC., THE	Lindemann Mental Health Center	25 Staniford St		Boston	MA
CH01121BK	Terminated	BPS-H80-005719	BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM, INC., THE	Casa Esperanza Women's Program	263 Eustis St		Roxbury	MA
CH01121BL	Terminated	BPS-H80-003212	BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM, INC., THE	FATHER BILL'S PLACE	38 Broad St		Quincy	MA
CH01121BM	Active	BPS-H80-003099	BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM, INC., THE	MASSACHUSETTS GENERAL HOSPITAL	WACC 108, 55 FRUIT STREET		BOSTON	MA
CH01121BN	Active	BPS-H80-005774	BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM, INC., THE	Transitions	211 River Street BLDG M		Mattapan	MA
CH01121BP	Terminated	BPS-H80-022077	BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM, INC., THE	Medeiros Center for Change	1960 washington street		Boston	MA
CH01121BQ	Active	BPS-H80-018797	Boston Health Care For The Homeless Program, Inc., The	Stacy Kirkpatrick House	461 Walnut Ave.		Jamaica Plain	MA
CH01121BR	Terminated	BPS-H80-019711	Boston Health Care For The Homeless Program, Inc., The	Boston Night Center	31 Bowker St		Boston	MA
CH01121BS	Active	BPS-H80-019412	Boston Health Care For The Homeless Program, Inc., The	St. Anthony Shrine	100 Arch Street		Boston	MA
CH01121BT	Terminated	BPS-H80-021693	Boston Health Care For The Homeless Program, Inc., The	EVA Center	780 Albany Street		Boston	MA
CH01121BU	Terminated	BPS-H80-030640	Boston Health Care For The Homeless Program, Inc., The	Temporary Site - 1515 Commonwealth Ave	1515 Commonwealth Ave FL 1st		BOSTON	MA
CH01121BV	Active	BPS-H80-030223	Boston Health Care For The Homeless Program, Inc., The	Y2Y Harvard Square	1 Church St		Cambridge	MA
CH01121BW	Active	BPS-H80-035310	Boston Health Care For The Homeless Program, Inc., The	Engagement Center	26 Atkinson St		Boston	MA
CH01121BX	Terminated	BPS-H80-032938	Boston Health Care For The Homeless Program, Inc., The	Boston Certified Community Behavioral Health Clinic	85 East Newton Street		Boston	MA
CH01121BY	Active	BPS-H80-033689	Boston Health Care For The Homeless Program, Inc., The	BHCHP Family Care Clinic	1785 Columbus Ave		Roxbury	MA
CH01121D	Active	BPS-H80-006065	BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM, INC., THE	Pine Street Inn at the Shattuck	170 Morton St		Jamaica Plain	MA
CH01121G	Active	BPS-H80-001461	BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM, INC., THE	ST. FRANCIS HOUSE	39 Boylston St		Boston	MA
CH01121I	Active	BPS-H80-000419	BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM, INC., THE	PINE STREET INN-MEN'S CLINIC	444 Harrison Ave		Boston	MA

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Carve-In Effective Date	Termination Date
CH011210	CAREMARK ILLINOIS SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	800 BIERMANN CT STE B	MOUNT PROSPECT	IL	60056	01/01/2019
CH011210	CAREMARK MASSACHUSETTS SPECIALTY PHARMAC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	25 BIRCH STREET, BLDG B, SUITE 100	MILFORD	MA	01757	01/01/2019
CH011210	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 01252	874 HARRISON AVE	BOSTON	MA	02118	01/01/2019
CH011210	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 05874	631 WASHINGTON ST.	BOSTON	MA	02111	01/01/2019
CH011210	D.A.W., LLC.	CVS/PHARMACY # 11274	780 ALBANY ST	BOSTON	MA	02118	07/01/2017	10/01/2017	01/14/2023
CH011210	PROCARE PHARMACY DIRECT, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	105 MALL BOULEVARD	MONROEVILLE	PA	15146	01/01/2019

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Medicaid Billing	NPI: Number	Insert	Recertification		1033157771	2/25/2025 6:31 AM
Medicaid Billing	NPI: State	Insert	Recertification		MA	2/25/2025 6:31 AM
Contacts	Primary Contact	Update	Recertification	Williams, Dirk Compliance Officer Boston Health Care for the Homeless Program 8576541049	McLaren, Stan Chief Executive Officer Boston Health Care for the Homeless Program 8576541002	2/25/2025 6:31 AM
Details	Last Recertification Date	Update	Recertification	2/21/2024 11:17:12 AM	2/25/2025 6:31:17 AM	2/25/2025 6:31 AM
Details	Last Recertification Date	Update	Recertification	2/15/2023 4:05:27 PM	2/21/2024 11:17:12 AM	2/21/2024 11:17 AM
Contacts	Authorizing Official	Update	AO Change Request	Sullivan, Stephanie Chief Executive Officer Boston Health Care for the Homeless 8576541002	Collymore, Nicole Manger of Compliance and Legal Services Boston Health Care for the Homeless Program 8576541081	2/21/2024 10:36 AM
Details	Last Recertification Date	Update	Recertification	2/3/2022 4:05:45 PM	2/15/2023 4:05:27 PM	2/15/2023 4:05 PM
Contacts	Authorizing Official	Update	Group Change Request	Bock, Barry CEO Boston Health Care for the Homeless Program 8576541015	Sullivan, Stephanie Chief Executive Officer Boston Health Care for the Homeless 8576541002	2/9/2023 5:46 PM
Details	Last Recertification Date	Update	Recertification	2/21/2021 8:47:43 AM	2/3/2022 4:05:45 PM	2/3/2022 4:05 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/21/2021 8:47 AM
Medicaid Billing	Medicaid: Number	Insert	Recertification		110020876I	2/21/2021 8:47 AM
Medicaid Billing	Medicaid: State	Insert	Recertification		MA	2/21/2021 8:47 AM
Medicaid Billing	Medicaid: Number	Delete	Recertification	0406970 (MA)		2/21/2021 8:47 AM
Medicaid Billing	NPI: Number	Insert	Recertification		1205080348	2/21/2021 8:47 AM
Medicaid Billing	NPI: State	Insert	Recertification		MA	2/21/2021 8:47 AM
Details	Last Recertification Date	Update	Recertification	2/3/2020 2:03:16 PM	2/21/2021 8:47:43 AM	2/21/2021 8:47 AM
Details	Last Recertification Date	Update	Recertification	2/4/2019 8:29:06 AM	2/3/2020 2:03:16 PM	2/3/2020 2:03 PM
Details	Last Recertification Date	Update	Recertification	2/26/2018 3:08:58 PM	2/4/2019 8:29:06 AM	2/4/2019 8:29 AM
Contacts	Primary Contact	Update	Recertification	Bock, Barry CEO Boston Health Care for the Homeless Program 8576541015	Williams, Dirk Compliance Officer Boston Health Care for the Homeless Program 8576541049	2/26/2018 3:08 PM
Details	Last Recertification Date	Update	Recertification	2/7/2017 12:00:00 AM	2/26/2018 3:08:58 PM	2/26/2018 3:08 PM
Contacts	Authorizing Official	Update		Bock, Barry CEO 8576541015	Bock, Barry CEO Boston Health Care for the Homeless Program 8576541015	2/20/2018 2:59 PM
Contacts	Primary Contact	Update		Bock, Barry CEO 8576541015	Bock, Barry CEO Boston Health Care for the Homeless Program 8576541015	2/20/2018 2:59 PM
Contacts	Authorizing Official	Insert			Bock, Barry CEO 8576541015	6/13/2017 6:46 PM
Contacts	Primary Contact	Insert			Bock, Barry CEO 8576541015	6/13/2017 6:46 PM
Addresses	Main Address	Insert			444 Harrison Ave Boston, MA 02118-2404	2/7/2017 4:11 PM
Details	Last Recertification Date	Update		2/25/2016 12:00:00 AM	2/7/2017 12:00:00 AM	2/7/2017 4:11 PM
Medicaid Billing	Medicaid: Is Primary	Update		True	False	2/25/2016 5:34 PM
Details	Last Recertification Date	Update		2/10/2015 12:00:00 AM	2/25/2016 12:00:00 AM	2/25/2016 5:34 PM
Details	Last Recertification Date	Update		3/13/2014 12:00:00 AM	2/10/2015 12:00:00 AM	2/10/2015 12:13 PM
Details	Last Recertification Date	Update		4/1/2013 12:00:00 AM	3/13/2014 12:00:00 AM	3/13/2014 6:45 AM
Details	Entity Name	Update		BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM, INC.	BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM, INC., THE	3/13/2014 6:45 AM
Details	Entity Subname	Update		PINE STREET INN MEN AND WOMEN'S CLINIC	PINE STREET INN-MEN'S CLINIC	3/13/2014 6:45 AM
Details	Last Recertification Date	Update			4/1/2013 12:00:00 AM	3/1/2013 10:41 AM
Addresses	Billing Address	Insert			BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM, INC. 780 ALBANY STREET BOSTON, MA 02118	11/18/2011 1:52 PM
Addresses	Shipping Address	Insert			BARBARA MCINNIS HOUSE CLINIC AND INHOUSE PHARMACY 780 ALBANY STREET BOSTON, MA 02118	11/18/2011 1:52 PM
Details	Last Recertification Date	Insert				8/11/2005 6:37 AM
Details	Grant Number	Insert			H80CS00006	8/11/2005 6:37 AM
Details	340B ID	Insert			CH01121I	8/11/2005 6:37 AM
Details	Is Authorizing Official EHB Data	Insert				8/11/2005 6:37 AM
Dates	Last Date That 340B Drugs Purchased	Insert				8/11/2005 6:37 AM
Details	Medicare Provider Number	Insert				8/11/2005 6:37 AM
Details	Entity Name	Insert			BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM, INC.	8/11/2005 6:37 AM
Details	Program Code	Insert			CH	8/11/2005 6:37 AM
Details	Entity Subname	Insert			PINE STREET INN MEN AND WOMEN'S CLINIC	8/11/2005 6:37 AM
Dates	Participating Approval Date	Insert			6/8/2005 12:00:00 AM	8/11/2005 6:37 AM
Details	State	Insert			Active	8/11/2005 6:37 AM
Dates	Registration Date	Insert			7/1/2005 12:00:00 AM	8/11/2005 6:37 AM
Dates	Signed By Date	Insert			6/6/2005 12:00:00 AM	8/11/2005 6:37 AM
Dates	Start Date	Insert			7/1/2005 12:00:00 AM	8/11/2005 6:37 AM
Terminations	Termination Comments	Insert				8/11/2005 6:37 AM
Terminations	Termination Date	Insert				8/11/2005 6:37 AM
Terminations	Termination Effective Date	Insert				8/11/2005 6:37 AM
Terminations	Termination Reason	Insert				8/11/2005 6:37 AM
Details	Comments Public	Insert			NEW SITE 7/1/05	8/11/2005 6:37 AM
Medicaid Billing	Medicaid: Is Primary	Insert			True	7/1/2005 12:00 AM
Medicaid Billing	Medicaid: Number	Insert			0406970	7/1/2005 12:00 AM
Medicaid Billing	Medicaid: State	Insert			MA	7/1/2005 12:00 AM

340B Drug Pricing Program Database