Organization Active NPI

Ledgewood Bay Retirement Living LLC

  • Assisted Living Facility
  • Milford, NH
National Provider Identifier
1003119462
Registry record updated Dec 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
03650 Issued in NH
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

Updated by the provider on Dec 7, 2010

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.