Organization Active NPI

D'Youville Leadership Solutions

Doing business as Saab Residence

  • Assisted Living Facility
  • Lowell, MA
National Provider Identifier
1023516465
Registry record updated Jan 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
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, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
-As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 31, 2018

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)CodeLicenseStatePrimary
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 Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2232424Saab Residence at D'Youville Life & Wellness, the1085 Varnum Ave, Lowell, MA 01854Certificate of waiverAug 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.

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.

Verify at the official NPI Registry.