272 Washington Street Operator LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

272 WASHINGTON STREET OPERATOR LLC

Practice address

272 Washington St
Gloucester, MA 01930-4818

Phone

(978) 281-0333

Fax

(978) 281-8985

NPI assigned

Jun 8, 2017

Last updated

Jun 8, 2017By the provider in NPPES

Organization subpart

Yes

Parent organization

NEXT STEP HEALTHCARE LLCAs reported in NPPES

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

Authorized official

Name

William Howard Stephan

Title

Chief Financial Officer

Phone

(617) 943-7747

Specialties & licenses 1

Addresses

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Next Step Healthcare, LLC

  • Home Health Agency
  • Wayland, MA
  • NPI 1184901316
  NPPES parent name

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496880000000",
    "number": "1073042453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 2ND AVE STE 605",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024942863",
            "telephone_number": "617-943-7747",
            "fax_number": "617-454-1051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 WASHINGTON ST",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "019304818",
            "telephone_number": "978-281-0333",
            "fax_number": "978-281-8985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "272 WASHINGTON STREET OPERATOR LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEXT STEP HEALTHCARE LLC",
        "enumeration_date": "2017-06-08",
        "last_updated": "2017-06-08",
        "status": "A",
        "authorized_official_last_name": "STEPHAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "617-943-7747"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jeffrey H Ahlin, DDS

• Skilled Nursing Facility in Gloucester, MA
• Providers in Gloucester, 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 Jun 8, 2017; 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.