Wingate at Andover, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0937 Issued in MA

Legal business name

WINGATE AT ANDOVER, INC.

Doing business as

Wingate at Andover Rehab & Skilled Nsg. Residence

Practice address

80 Andover St
Andover, MA 01810-5606

Phone

(978) 470-3434

Fax

(978) 475-7097

NPI assigned

May 8, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Tamilyn M. Levin, ESQ.

Title

Cfo

Phone

(781) 707-9510

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Wingate at Andover Rehab & Skilled Nsg. Residence Doing business as

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349395200000",
    "number": "1073562021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 KENDRICK ST",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024942708",
            "telephone_number": "781-707-9085",
            "fax_number": "781-707-9285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 ANDOVER ST",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018105606",
            "telephone_number": "978-470-3434",
            "fax_number": "978-475-7097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINGATE AT ANDOVER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2012-10-05",
        "status": "A",
        "authorized_official_last_name": "LEVIN",
        "authorized_official_first_name": "TAMILYN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "781-707-9510",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ESQ."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "0937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110026360B",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wingate at Andover Rehab & Skilled Nsg. Residence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kinsley Elaine Willis, MS, BCBA, LABA
• Mary Ann Wilmarth, PT, DPT
• Michelle Leigh Wilson, MA, LMHC
• Winchester Physician Associates
• Winchester Women'S Health Care, P.C.
• Jeanine Marie Witten, PT
• Peter Wojtkun, D.M.D.
• Michaela Wood-Suvak
• Audrey Woodman, MS CCC-SLP
• Shelley Ann Woolsey, RD, LDN

• Skilled Nursing Facility in Andover, MA
• Providers in Andover, 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 Oct 5, 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.