Organization Active NPI

Jewish Rehabilitation Center of the North Shore

  • Nursing Facility/Intermediate Care Facility
  • Swampscott, MA
National Provider Identifier
1083601272
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
825 Issued in MA
Legal business name
JEWISH REHABILITATION CENTER OF THE NORTH SHORE
Practice address
330 Paradise Rd
Swampscott, MA 01907-2941
Phone
(781) 598-5310
Fax
(781) 598-6752
NPI assigned
Oct 3, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Fred Eric Lomas
Title
Chief Financial Officer
Phone
(781) 598-5310

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 825 MA Primary

Addresses

Primary practice location

330 Paradise Rd
Swampscott, MA 01907-2941

Mailing address

330 Paradise Rd
Swampscott, MA 01907-2941
Phone (781) 598-5310

Other names 1

  • JRC North Shore Other name

National Provider Directory

National Provider Directory
Tax ID family
Jeffrey and Susan Brudnick Center for Li3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083601272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 PARADISE RD",
            "city": "SWAMPSCOTT",
            "state": "MA",
            "postal_code": "019072941",
            "telephone_number": "781-598-5310",
            "fax_number": "781-598-6752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 PARADISE RD",
            "city": "SWAMPSCOTT",
            "state": "MA",
            "postal_code": "019072941",
            "telephone_number": "781-598-5310",
            "fax_number": "781-598-6752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEWISH REHABILITATION CENTER OF THE NORTH SHORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOMAS",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "781-598-5310",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "MA",
            "license": "825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JRC North Shore",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Swampscott, MA

Sources for this page

  • 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.