Mayflower Place Nursing Center, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0914 Issued in MA

Legal business name

MAYFLOWER PLACE NURSING CENTER, INC

Practice address

579 Buck Island Rd
W Yarmouth, MA 02673-3200

Phone

(508) 957-7007

Fax

(508) 790-8116

NPI assigned

Feb 14, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sydney Insoft

Title

Partner

Phone

(617) 641-0009

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063486322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "579 BUCK ISLAND RD",
            "city": "W YARMOUTH",
            "state": "MA",
            "postal_code": "026733200",
            "telephone_number": "508-957-7007",
            "fax_number": "508-790-8116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "579 BUCK ISLAND RD",
            "city": "W YARMOUTH",
            "state": "MA",
            "postal_code": "026733200",
            "telephone_number": "508-957-7007",
            "fax_number": "508-790-8116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYFLOWER PLACE NURSING CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "INSOFT",
        "authorized_official_first_name": "SYDNEY",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "617-641-0009"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "0914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS - HMO",
            "identifier": "2222537401",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0919411",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sasha Danielle Girouard, M.D.
• Patrick Goff Jr.
• Christin M Hayes, D.C.
• Siobhan Hemeon-McMahon
• Muriel Delight Korbel, LICSW
• Physiotherapy Associates Inc (Physiotherapy Associates)
• Marie Bernay Schreiner, PA-C
• Jayne P. Serino, LMHC
• Shields MRI & Imaging Center of Cape Cod, LLC

• Skilled Nursing Facility in W Yarmouth, MA
• Providers in W Yarmouth, MA by specialty
• Skilled Nursing Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.