Active NPI
D'Youville Leadership Solutions
Doing business as Saab Residence
- Assisted Living Facility
- Lowell, MA
National Provider Identifier
1023516465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- D'YOUVILLE LEADERSHIP SOLUTIONS
- Doing business as
- Saab Residence
- Practice address
- 1085 Varnum Ave
Lowell, MA 01854-1133 - Phone
- (978) 569-1016
- Fax
- (978) 569-1015
- NPI assigned
- Jan 31, 2018
- Last updated
- Jan 31, 2018
- Organization subpart
- Yes
- Parent organization
- -
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Naomi Prendergast
- Title
- Ceo
- Phone
- (978) 569-1000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | NU | Primary |
Addresses
Primary practice location
1085 Varnum Ave
Lowell, MA 01854-1133
Mailing address
981 Varnum Ave
Lowell, MA 01854-1913
Phone (978) 569-1000
Other names 1
- Saab Residence
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D2232424 | Saab Residence at D'Youville Life & Wellness, the | Certificate of waiver | Aug 11, 2027 |
National Provider Directory
National Provider Directory- Part of
- D'Youville Leadership Solutions
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Physical Therapy Clinic/Center
- Waltham, MA
- NPI 1104639731
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517356800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1517356800000",
"number": "1023516465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "981 VARNUM AVE",
"city": "LOWELL",
"state": "MA",
"postal_code": "018541913",
"telephone_number": "978-569-1000",
"fax_number": "978-569-1085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1085 VARNUM AVE",
"city": "LOWELL",
"state": "MA",
"postal_code": "018541133",
"telephone_number": "978-569-1016",
"fax_number": "978-569-1015"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "D'YOUVILLE LEADERSHIP SOLUTIONS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "-",
"enumeration_date": "2018-01-31",
"last_updated": "2018-01-31",
"status": "A",
"authorized_official_last_name": "PRENDERGAST",
"authorized_official_first_name": "NAOMI",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "978-569-1000"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Saab Residence",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lowell, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.