Organization Active NPI

Jacs Ops I Inc

  • Skilled Nursing Facility
  • Melrose, MA
National Provider Identifier
1093739583
Registry record updated Oct 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
JACS OPS I INC
Doing business as
EPOCH Senior Healthcare of Melrose
Practice address
15 Green St
Melrose, MA 02176
Phone
(781) 665-3950
Fax
(781) 665-9059
NPI assigned
Jul 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2007

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

Authorized official

Name
Ms. Debora A Pfaff
Title
Cfo
Phone
(781) 891-0777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

15 Green St
Melrose, MA 02176

Mailing address

51 Sawyer Road
Ste 500 Epoch Senior Living Inc
Waltham, MA 02453
Phone (781) 891-0777

Other identifiers 1

IdentifierTypeStateIssuer
0924482MedicaidMA

Other names 1

  • EPOCH Senior Healthcare of Melrose Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191542400000",
    "number": "1093739583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 SAWYER ROAD",
            "address_2": "STE 500 EPOCH SENIOR LIVING INC",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "02453",
            "telephone_number": "781-891-0777",
            "fax_number": "781-647-0697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 GREEN ST",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "02176",
            "telephone_number": "781-665-3950",
            "fax_number": "781-665-9059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACS OPS I INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-10-05",
        "status": "A",
        "authorized_official_last_name": "PFAFF",
        "authorized_official_first_name": "DEBORA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "781-891-0777",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0924482",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EPOCH Senior Healthcare of Melrose",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Melrose, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; 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.