Active NPI
Ledgewood Bay Retirement Living LLC
- Assisted Living Facility
- Milford, NH
National Provider Identifier
1003119462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 03650
- Legal business name
- LEDGEWOOD BAY RETIREMENT LIVING LLC
- Doing business as
- Ledgewood Bay Assisted Living and Memory Care
- Practice address
- 43 Ledgewood Dr
Milford, NH 03055-6736 - Phone
- (603) 672-5037
- NPI assigned
- Dec 7, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Douglas Maclatchy
- Title
- Director
- Phone
- (416) 487-2020
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 03650 | NH | Primary |
Addresses
Primary practice location
43 Ledgewood Dr
Milford, NH 03055-6736
Mailing address
1818 Library St
Reston, VA 20190-6242
Phone (416) 487-2020
Other names 1
- Ledgewood Bay Assisted Living and Memory Care
National Provider Directory
National Provider DirectoryLocations
1818 Library St
Reston, VA 20190
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291680000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1291680000000",
"number": "1003119462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1818 LIBRARY ST",
"city": "RESTON",
"state": "VA",
"postal_code": "201906242",
"telephone_number": "416-487-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43 LEDGEWOOD DR",
"city": "MILFORD",
"state": "NH",
"postal_code": "030556736",
"telephone_number": "603-672-5037"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEDGEWOOD BAY RETIREMENT LIVING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-07",
"last_updated": "2010-12-07",
"status": "A",
"authorized_official_last_name": "MACLATCHY",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "416-487-2020"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "NH",
"license": "03650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Ledgewood Bay Assisted Living and Memory Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Milford, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.