Organization Active NPI

Olsl Alden Place, LLC

  • Assisted Living Facility
  • Fairhaven, MA
National Provider Identifier
1003950320
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
OLSL ALDEN PLACE, LLC
Practice address
391 Alden Rd
Fairhaven, MA 02719-4405
Phone
(508) 994-9238
Fax
(508) 994-9239
NPI assigned
Feb 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Kelly Lanham
Title
Chief Accounting Officer
Phone
(502) 719-7512

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

391 Alden Rd
Fairhaven, MA 02719-4405

Mailing address

401 S 4TH St
Suite 1900
Louisville, KY 40202-3426
Phone (502) 779-7512

Other identifiers 1

IdentifierTypeStateIssuer
1905791OtherKYPROVIDER NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003950320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S 4TH ST",
            "address_2": "SUITE 1900",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402023426",
            "telephone_number": "502-779-7512",
            "fax_number": "502-779-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 ALDEN RD",
            "city": "FAIRHAVEN",
            "state": "MA",
            "postal_code": "027194405",
            "telephone_number": "508-994-9238",
            "fax_number": "508-994-9239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLSL ALDEN PLACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LANHAM",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "CHIEF ACCOUNTING OFFICER",
        "authorized_official_telephone_number": "502-719-7512",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "1905791",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairhaven, MA

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.

Verify at the official NPI Registry.