Wingate at Needham, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0RW6 Issued in MA

Legal business name

WINGATE AT NEEDHAM, INC.

Doing business as

Wingate at Needham Rehab. & Skilled Nsg. Residence

Practice address

589 Highland Ave
Needham, MA 02494-2205

Phone

(781) 455-9090

Fax

(781) 455-9012

NPI assigned

May 9, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Tamilyn M. Levin, ESQ.

Title

Cfo

Phone

(781) 707-9510

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Wingate at Needham Rehab. & Skilled Nsg. Residence Doing business as

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349395200000",
    "number": "1033168984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 KENDRICK ST",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024942708",
            "telephone_number": "781-707-9085",
            "fax_number": "781-707-9285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "589 HIGHLAND AVE",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024942205",
            "telephone_number": "781-455-9090",
            "fax_number": "781-455-9012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINGATE AT NEEDHAM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2012-10-05",
        "status": "A",
        "authorized_official_last_name": "LEVIN",
        "authorized_official_first_name": "TAMILYN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "781-707-9510",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ESQ."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "0RW6",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110026464B",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wingate at Needham Rehab. & Skilled Nsg. Residence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Genevieve Briones Williams
• Julia Williams, MHC
• Robert Holden Williams, M.S. LMFT
• Hailey Marie Willis
• Elizabeth Rebecca Wilson, LICSW
• John Wolfert, PA-C
• David B. Wolff, PH.D.
• Woman Well Inc
• Alicia Paula Woods, ME.D
• Elizabeth Woodward, MS, CCC-SLP

• Skilled Nursing Facility in Needham, MA
• Providers in Needham, 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 Oct 5, 2012; 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.