Organization Active NPI

Forge Hill Assisted Living, LLC

  • Clinic/Center
  • Franklin, MA
National Provider Identifier
1114045135
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
FORGE HILL ASSISTED LIVING, LLC
Practice address
4 Forge Hill Rd
Franklin, MA 02038-3162
Phone
(508) 528-9200
Fax
(508) 541-6591
NPI assigned
Mar 27, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Maryanne Sannicandro
Title
Executive Director
Phone
(508) 528-9200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

4 Forge Hill Rd
Franklin, MA 02038-3162

Mailing address

4 Forge Hill Rd
Franklin, MA 02038-3162
Phone (508) 528-9200

Other identifiers 1

IdentifierTypeStateIssuer
1904272MedicaidMA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114045135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 FORGE HILL RD",
            "city": "FRANKLIN",
            "state": "MA",
            "postal_code": "020383162",
            "telephone_number": "508-528-9200",
            "fax_number": "508-541-6591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 FORGE HILL RD",
            "city": "FRANKLIN",
            "state": "MA",
            "postal_code": "020383162",
            "telephone_number": "508-528-9200",
            "fax_number": "508-541-6591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORGE HILL ASSISTED LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANNICANDRO",
        "authorized_official_first_name": "MARYANNE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "508-528-9200"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1904272",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, 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.