Organization Active NPI

Mill Pond Assisted Care LLC

  • Assisted Living Facility
  • Ashland, MA
National Provider Identifier
1063239069
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
MILL POND ASSISTED CARE LLC
Practice address
84 Myrtle St
Ashland, MA 01721-1113
Phone
(617) 319-2914
NPI assigned
Sep 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Authorized official

Name
Jamshed Khan
Title
Managing Partner
Phone
(617) 319-2914

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

84 Myrtle St
Ashland, MA 01721-1113

Mailing address

38 Welch Rd
Brookline, MA 02445-7526
Phone (617) 319-2914

National Provider Directory

National Provider Directory

Locations

84 Myrtle St
Ashland, MA 01721
Phone (508) 881-1360

NPI Registry JSON

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

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727049600000",
    "number": "1063239069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 WELCH RD",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024457526",
            "telephone_number": "617-319-2914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 MYRTLE ST",
            "city": "ASHLAND",
            "state": "MA",
            "postal_code": "017211113",
            "telephone_number": "617-319-2914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILL POND ASSISTED CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "JAMSHED",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "617-319-2914"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.