Organization Active NPI

Tewksbury Assisted Living, LLC

Doing business as The Isle at Emerald Court

  • Assisted Living Facility
  • Tewksbury, MA
National Provider Identifier
1053533224
Registry record updated Apr 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
TEWKSBURY ASSISTED LIVING, LLC
Doing business as
The Isle at Emerald Court
Practice address
2000 Emerald CT
Tewksbury, MA 01876-5220
Phone
(978) 640-0194
Fax
(978) 640-0279
NPI assigned
May 3, 2007
Last updated
Apr 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2008

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

Authorized official

Name
Chris Guay
Title
Vice President of Operations
Phone
(603) 429-0142

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X MA Primary

Addresses

Primary practice location

2000 Emerald CT
Tewksbury, MA 01876-5220

Mailing address

3131 Elliott Ave
Suite 500
Seattle, WA 98121-1044
Phone (206) 298-2909

Other names 1

  • The Isle at Emerald Court Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207872000000",
    "number": "1053533224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 ELLIOTT AVE",
            "address_2": "SUITE 500",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981211044",
            "telephone_number": "206-298-2909",
            "fax_number": "206-301-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 EMERALD CT",
            "city": "TEWKSBURY",
            "state": "MA",
            "postal_code": "018765220",
            "telephone_number": "978-640-0194",
            "fax_number": "978-640-0279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEWKSBURY ASSISTED LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2008-04-11",
        "status": "A",
        "authorized_official_last_name": "GUAY",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "VICE PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "603-429-0142"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Isle at Emerald Court",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tewksbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; 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.