Inspired Senior Living of Dartmouth Mt, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

INSPIRED SENIOR LIVING OF DARTMOUTH MT, LLC

Doing business as

The Residence at Cedar Dell

Practice address

628 Old Westport Rd
Dartmouth, MA 02747-2398

Phone

(508) 636-0590

Fax

(508) 636-0591

NPI assigned

Aug 1, 2023

Organization subpart

No

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

Authorized official

Name

Leo Jacques

Title

Controller

Phone

(781) 619-9327

Specialties & licenses 1

Addresses

Other names 1

• The Residence at Cedar Dell Doing business as

Locations

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

{
    "created_epoch": "1690848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690848000000",
    "number": "1033891965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 NORWOOD PARK S STE 205",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020624681",
            "telephone_number": "781-619-9327",
            "fax_number": "781-619-9321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 OLD WESTPORT RD",
            "city": "DARTMOUTH",
            "state": "MA",
            "postal_code": "027472398",
            "telephone_number": "508-636-0590",
            "fax_number": "508-636-0591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSPIRED SENIOR LIVING OF DARTMOUTH MT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-01",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A",
        "authorized_official_last_name": "JACQUES",
        "authorized_official_first_name": "LEO",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "781-619-9327"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Residence at Cedar Dell",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Rose Howland, M.D.
• Carol M Hudner, M.S.
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• Imagine Primary Care, PC
• Imaging Consultants
• Sarah Grace Ivanova, PT, DPT
• Jennifer Lee Jackman, FNP
• Rena L. Jacobson, AUD, FAAA, CCC-A
• Sarah Jacques
• Jaldea Behavioral Solutions, LLC

• Assisted Living Facility in Dartmouth, MA
• Providers in Dartmouth, 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 1, 2023; 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.