Individual provider Active NPI

Judy E Bushee

  • Adult Care Home Facility
  • Melrose, MA
National Provider Identifier
1104039726
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
1561 Issued in MA
Practice address
The Toole Nursing Home
92 Franklin Street
Melrose, MA 02176
Phone
(178) 166-5076
NPI assigned
May 8, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 1561 MA Primary

Addresses

Primary practice location

The Toole Nursing Home
92 Franklin Street
Melrose, MA 02176

Mailing address

157 Linwood Ave
Melrose, MA 02176-4723
Phone (178) 166-2947

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1561MAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104039726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 LINWOOD AVE",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021764723",
            "telephone_number": "178-166-2947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "THE TOOLE NURSING HOME",
            "address_2": "92 FRANKLIN STREET",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "02176",
            "telephone_number": "178-166-5076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSHEE",
        "first_name": "JUDY",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MA",
            "license": "1561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 8, 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.