The house is a story wood frame structure, sheathed in wooden clapboards. There are two main rooms, one on either side of a central chimney, on each of the two floors, and there are two further rooms in the lean to section on the first floor. The main facade is three bays wide with the entry in the center. The doorway is framed by pilasters and topped by an entablature and triangular pediment. The land on which the house sits was first owned by William Needham, who built a house on the property c. 1650. According to dendrochronological analysis, "the front part of the house was built in 1722, or shortly thereafter by Deacon John Adams. President John Adams refers to the fact that his father built the house in a letter to Dr. Benjamin Rush of July 19, 1812. The framing of the east side incorporates a number of reused timbers dating to the 1670s." John, the oldest son of Deacon John, was born in the east room on October 30, 1735.
Later history
Upon the Deacon's death in 1761, the house passed to his second son, Peter; the younger John received the house next door, where John Quincy Adams was born to John and Abigail Adams in 1767. Peter lived in the house with his mother until 1768, when he married. In 1774 he sold the house to his brother John, who rented it out after their mother died in 1780. In 1803 John sold both houses to his son, who lived in the house of his birth, and rented this one out. The house was occupied from 1810 to 1818 by John Quincy Adams' son, Thomas Boylston Adams. Both houses remained in Adams family ownership, and were rented out until 1885, when most of the surrounding farmland was sold off. After sitting vacant, Charles Francis Adams Jr. authorized the local chapter of the Daughters of the American Revolution to use the house as meeting space. This they did until the chapter folded in 1950. The Adamses sold the house to the City of Quincy in 1940, which turned administration of the property over to the Quincy Historical Society in 1950. The two houses are now part of Adams National Historical Park, and are administered by the National Park Service. They are open for guided tours.