Metro Health Foundation of Massachusetts, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0912 Issued in MA

Legal business name

METRO HEALTH FOUNDATION OF MASSACHUSETTS, INC

Doing business as

Alden Court Nursing and Rehabilitation Center

Practice address

389 Alden Road
Fairhaven, MA 02719-4451

Phone

(508) 991-8600

Fax

(508) 992-3708

NPI assigned

Sep 22, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Ronald Bridge

Title

Chief Financial Officer

Phone

(508) 717-0102

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Alden Court Nursing and Rehabilitation Center Doing business as

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332892800000",
    "number": "1073509378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "389 ALDEN ROAD",
            "city": "FAIRHAVEN",
            "state": "MA",
            "postal_code": "027194451",
            "telephone_number": "508-991-8600",
            "fax_number": "508-992-3708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "389 ALDEN ROAD",
            "city": "FAIRHAVEN",
            "state": "MA",
            "postal_code": "027194451",
            "telephone_number": "508-991-8600",
            "fax_number": "508-992-3708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO HEALTH FOUNDATION OF MASSACHUSETTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-22",
        "last_updated": "2012-03-28",
        "status": "A",
        "authorized_official_last_name": "BRIDGE",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "508-717-0102",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "0912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110026525C",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0929271",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alden Court Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Anthony Joseph Morelli

• Skilled Nursing Facility in Fairhaven, MA
• Providers in Fairhaven, 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 Mar 28, 2012; 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.