Curahealth Boston North Shore, LLC

Primary specialty

Long Term Care HospitalTaxonomy code 282E00000X

Legal business name

CURAHEALTH BOSTON NORTH SHORE, LLC

Doing business as

Curahealth Boston North Shore

Practice address

15 King St
Peabody, MA 01960-4379

Phone

(978) 531-2900

NPI assigned

Jun 27, 2016

Last updated

Jun 27, 2016By 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

Chester W. Crouch

Title

Ceo

Phone

(214) 707-9606

Specialties & licenses 1

Addresses

Other names 1

• Curahealth Boston North Shore Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1073964540. Details of each certification follow.

• CCN 220114 Hospital · Terminated · Name & address match · Details
• CCN 222044 Hospital · Terminated · Name & address match · Details

Hospital certification: CCN 220114

Legal name

THC BOSTON

Certification status

Terminated Voluntary: merger or closure, May 1, 1994

Provider type (POS)

Hospital – Short-term

Participating since

Jul 1, 1966

Last certification

Jun 2, 1992

Beds

41

Ownership / control type

Local

Most recent change of ownership

Nov 3, 1993 (2 total)

Facility address

15 King St
Peabody, MA 01960

Hospital certification: CCN 222044

Legal name

CURAHEALTH BOSTON NORTH SHORE

Certification status

Terminated Voluntary: merger or closure, Sep 14, 2017

Provider type (POS)

Hospital – Long-term

Participating since

May 1, 1994

Last certification

May 26, 2011

Beds

50

Ownership / control type

Private (for profit)

Facility address

15 King Street
Peabody, MA 01960

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

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466985600000",
    "number": "1073964540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 BEEBALM LN",
            "address_2": "SUITE 220",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750402955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 KING ST",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019604379",
            "telephone_number": "978-531-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CURAHEALTH BOSTON NORTH SHORE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-27",
        "last_updated": "2016-06-27",
        "status": "A",
        "authorized_official_last_name": "CROUCH",
        "authorized_official_first_name": "CHESTER",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-707-9606"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Curahealth Boston North Shore",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nadia Dominique Cuevas, RBT
• Michelle Cullinane, PT
• Richard Kevin Cuneo, MD
• Laura Cunningham
• Mary E Cunningham, D.O.
• Monica E. Curtis, NP
• CVS Pharmacy Inc (CVS Pharmacy # 02533)
• CVS Pharmacy Inc (CVS Pharmacy #00318)
• CVS Pharmacy Inc (CVS Pharmacy #04073)
• Marguerite Cycz, CNP

• Long Term Care Hospital in Peabody, MA
• Providers in Peabody, MA by specialty
• Long Term Care Hospital in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.