Organization Active NPI

Awenasa Home Inc.

  • Nursing Facility/Intermediate Care Facility
  • Millis, MA
National Provider Identifier
1053873547
Registry record updated Apr 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
Legal business name
AWENASA HOME INC.
Practice address
71 Union St.
Willowbrook Manor Rest Home
Millis, MA 02054
Phone
(508) 376-5083
NPI assigned
Apr 3, 2019
Last updated
Apr 3, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2019

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

Authorized official

Name
Hemanth Hari
Title
President
Phone
(857) 891-0700

Specialties & licenses 1

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

Addresses

Primary practice location

71 Union St.
Willowbrook Manor Rest Home
Millis, MA 02054

Mailing address

26 Inman St. #GD
Cambridge, MA 02139
Phone (857) 891-0700

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554249600000",
    "number": "1053873547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 INMAN ST. #GD",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "02139",
            "telephone_number": "857-891-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 UNION ST.",
            "address_2": "WILLOWBROOK MANOR REST HOME",
            "city": "MILLIS",
            "state": "MA",
            "postal_code": "02054",
            "telephone_number": "508-376-5083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWENASA HOME INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-03",
        "last_updated": "2019-04-03",
        "status": "A",
        "authorized_official_last_name": "HARI",
        "authorized_official_first_name": "HEMANTH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "857-891-0700"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millis, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; 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.