Courtyard Nursing Care Center Partnership

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0933 Issued in MA

Legal business name

COURTYARD NURSING CARE CENTER PARTNERSHIP

Practice address

200 Governors Ave
Medford, MA 02155-1644

Phone

(781) 391-5400

Fax

(781) 391-4254

NPI assigned

May 24, 2006

Organization subpart

No

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

Authorized official

Name

Virginia Lovelace

Title

Paralegal

Phone

(505) 468-4742

Specialties & licenses 1

Addresses

Other identifiers 8

Other names 1

• Courtyard Nursing Care Center Doing business as

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595808000000",
    "number": "1033164272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E STATE ST",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193483109",
            "telephone_number": "610-925-4436",
            "fax_number": "610-925-4351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 GOVERNORS AVE",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021551644",
            "telephone_number": "781-391-5400",
            "fax_number": "781-391-4254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURTYARD NURSING CARE CENTER PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A",
        "authorized_official_last_name": "LOVELACE",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_title_or_position": "PARALEGAL",
        "authorized_official_telephone_number": "505-468-4742"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "0933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "0010786",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0940194",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF MA",
            "identifier": "2222554501",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA-HMO",
            "identifier": "551842",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED - EVERCARE",
            "identifier": "71-00017",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRAM",
            "identifier": "905414",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS - OUTPATIEN REHAB",
            "identifier": "2222554510",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "802272",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Courtyard Nursing Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Courtyard Nursing Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patrick Cooper, DMD
• Cinzia G Coppola, CPNP
• Patricia Marie Cordeiro, ATC
• Kimberly J Costa, NP
• Diane Coste, NP
• CPL (Glen Ridge) LLC
• Jennifer Ahonen Crane, CNP, RN
• Margaret Crawford, LCSW
• Meghan Marie Cray, RDN
• Martha E Cregan, BA

• Skilled Nursing Facility in Medford, MA
• Providers in Medford, MA by specialty
• Skilled Nursing Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.