Active NPI
Lafayette Convalescent Home
- Skilled Nursing Facility
- Marblehead, MA
National Provider Identifier
1003803107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0291
- Legal business name
- LAFAYETTE CONVALESCENT HOME
- Practice address
- 25 Lafayette St
Marblehead, MA 01945-1939 - Phone
- (781) 631-4535
- Fax
- (781) 631-6400
- NPI assigned
- Oct 4, 2005
- 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
- Ms. Laura McDonnell
- Title
- Corporate Billing Manager
- Phone
- (978) 420-1500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 0291 | MA | Primary |
Addresses
Primary practice location
25 Lafayette St
Marblehead, MA 01945-1939
Mailing address
25 Lafayette St
Marblehead, MA 01945-1939
Phone (781) 631-4535
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0918849 | Medicaid | MA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128384000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1003803107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 LAFAYETTE ST",
"city": "MARBLEHEAD",
"state": "MA",
"postal_code": "019451939",
"telephone_number": "781-631-4535",
"fax_number": "781-631-6400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 LAFAYETTE ST",
"city": "MARBLEHEAD",
"state": "MA",
"postal_code": "019451939",
"telephone_number": "781-631-4535",
"fax_number": "781-631-6400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAFAYETTE CONVALESCENT HOME",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-04",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MCDONNELL",
"authorized_official_first_name": "LAURA",
"authorized_official_title_or_position": "CORPORATE BILLING MANAGER",
"authorized_official_telephone_number": "978-420-1500",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MA",
"license": "0291",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0918849",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marblehead, MA
- Arielle Sarah Kingsbury, OTR
- Jeannette M Kowalski, LMHC
- Elaina Louisos Kramer, M.A., CCC-SLP
- Stephanie M Kula, M.AC. L.AC.
- Lafayette Care LLC
- Lafayette Rehabilitation and Skilled Nursing Facility Inc.
- Lahey Hospital and Medical Center
- Patricia Ann Larson, PT
- Jasminn Laubenstein, DPT
- Nancy F Leader-Cramer, LICSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.