B-XII Waltham LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

B-XII WALTHAM LLC

Practice address

126 Smith St
Waltham, MA 02451-1300

Phone

(781) 466-9912

Fax

(781) 466-9914

NPI assigned

Mar 20, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Gayle Crenshaw

Title

Senior Paralegal

Phone

(781) 489-7563

Specialties & licenses 1

Addresses

Other names 1

• Benchmark Senior Living at Waltham Crossings Doing business as

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421798400000",
    "number": "1013032861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 WILLIAM ST",
            "address_2": "SUITE 350",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024813999",
            "telephone_number": "781-489-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 SMITH ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024511300",
            "telephone_number": "781-466-9912",
            "fax_number": "781-466-9914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B-XII WALTHAM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2015-01-21",
        "status": "A",
        "authorized_official_last_name": "CRENSHAW",
        "authorized_official_first_name": "GAYLE",
        "authorized_official_title_or_position": "SENIOR PARALEGAL",
        "authorized_official_telephone_number": "781-489-7563",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Benchmark Senior Living at Waltham Crossings",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Waltham, MA
• Providers in Waltham, MA by specialty
• Assisted Living Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; 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.