Organization Active NPI

Anns Rest Home Inc.

  • Nursing Facility/Intermediate Care Facility
  • Dorchester, MA
National Provider Identifier
1043401136
Registry record updated Aug 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
2560 Issued in MA
Legal business name
ANNS REST HOME INC.
Practice address
66 Bowdoin Ave
Dorchester, MA 02121-3902
Phone
(617) 825-1793
Fax
(617) 825-1793
NPI assigned
Aug 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2007

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

Authorized official

Name
Mr. Willard L Basler, PRESIDENT
Title
Administrator
Phone
(617) 825-1793

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 2560 MA Primary

Addresses

Primary practice location

66 Bowdoin Ave
Dorchester, MA 02121-3902

Mailing address

66 Bowdoin Ave
Dorchester, MA 02121-3902
Phone (617) 825-1793

Other identifiers 1

IdentifierTypeStateIssuer
5508339MedicaidMA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186272000000",
    "number": "1043401136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 BOWDOIN AVE",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021213902",
            "telephone_number": "617-825-1793",
            "fax_number": "617-825-1793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 BOWDOIN AVE",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021213902",
            "telephone_number": "617-825-1793",
            "fax_number": "617-825-1793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNS REST HOME INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-08-05",
        "status": "A",
        "authorized_official_last_name": "BASLER",
        "authorized_official_first_name": "WILLARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "617-825-1793",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PRESIDENT"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "MA",
            "license": "2560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5508339",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dorchester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2007; 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.