NPIMap

Organization Active NPI

4499 Acushnet Avenue Operating Company, LLC

  • Long Term Care Hospital
  • New Bedford, MA
National Provider Identifier
1013147685
Registry record updated Jul 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
2224 Issued in MA
Legal business name
4499 ACUSHNET AVENUE OPERATING COMPANY, LLC
Practice address
4499 Acushnet Ave
New Bedford, MA 02745-4707
Phone
(508) 995-6900
Fax
(508) 998-5974
NPI assigned
Jul 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2009

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

Authorized official

Name
Ms. Cheryl Perry
Title
Cheif Financial Officer
Phone
(508) 995-6900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X 2224 MA Primary

Addresses

Primary practice location

4499 Acushnet Ave
New Bedford, MA 02745-4707

Mailing address

4499 Acushnet Ave
New Bedford, MA 02745-4707
Phone (508) 995-6900

Other identifiers 1

IdentifierTypeStateIssuer
110027396CMedicaidMA

Other names 1

  • New Bedford Rehabilitation Hospital Doing business as

National Provider Directory

National Provider Directory
Tax ID family
4499 Acushnet Ave Operating2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4499 Acushnet Ave
New Bedford, MA 02745
Phone (508) 207-4274

NPI Registry JSON

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

{
    "created_epoch": "1247788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247788800000",
    "number": "1013147685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4499 ACUSHNET AVE",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027454707",
            "telephone_number": "508-995-6900",
            "fax_number": "508-998-5974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4499 ACUSHNET AVE",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027454707",
            "telephone_number": "508-995-6900",
            "fax_number": "508-998-5974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "4499 ACUSHNET AVENUE OPERATING COMPANY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-17",
        "last_updated": "2009-07-17",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "CHEIF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "508-995-6900",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "MA",
            "license": "2224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110027396C",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Bedford Rehabilitation Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Bedford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2009; 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.