Massachusetts Assisted Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MASSACHUSETTS ASSISTED LIVING LLC

Doing business as

Avery Crossings

Practice address

110 West St
Needham, MA 02494-1399

Phone

(781) 444-6655

Fax

(781) 433-2794

NPI assigned

Apr 13, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Arthur L. Rothgerber

Title

Senior VP of Reimbursement

Phone

(502) 596-7300

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Avery Crossings Doing business as

Tax ID family

Avery Crossings2 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.

• Massachusetts Assisted Living LLC

  dba The Village at Laurel Lake

  • Assisted Living Facility
  • Lee, MA
  • NPI 1093930364
  NPD tax ID

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023233392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 WEST ST",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024941399",
            "telephone_number": "781-444-6655",
            "fax_number": "781-433-2794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 WEST ST",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024941399",
            "telephone_number": "781-444-6655",
            "fax_number": "781-433-2794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSACHUSETTS ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROTHGERBER",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "SENIOR VP OF REIMBURSEMENT",
        "authorized_official_telephone_number": "502-596-7300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1903811",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avery Crossings",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marva Khalid Dentistry PC
• Sandra Lee Marwill, M.D.
• Jasmine Mashhadi, DPT
• R William Mason, M.D.
• Valerie Ann Mason, RD
• George Masselam, LCSW
• Andrea Warnick Masterman, PHD
• Aisha Masud, MD
• Felicia D Mathias, LICSW
• Julia A Matthews-Bellinger, PHD, MD

• Assisted Living Facility in Needham, MA
• Providers in Needham, 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 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.