Organization Active NPI

Baypointe Nursing Home Inc

  • Skilled Nursing Facility
  • Brockton, MA
National Provider Identifier
1114905486
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
OE4B Issued in MA
Legal business name
BAYPOINTE NURSING HOME INC
Practice address
50 Christy PL
Brockton, MA 02301-1826
Phone
(508) 580-6800
Fax
(508) 587-6633
NPI assigned
Jan 5, 2006
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
Ms. Caterina Mina Imbriano
Title
Assistant Controller
Phone
(781) 251-9001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X OE4B MA Primary

Addresses

Primary practice location

50 Christy PL
Brockton, MA 02301-1826

Mailing address

3 Allied Dr
Suite 106
Dedham, MA 02026-6122
Phone (781) 251-9001

Other identifiers 1

IdentifierTypeStateIssuer
0922579MedicaidMA

Other names 1

  • Baypointe Rehab & Skilled Care Center Doing business as

National Provider Directory

National Provider Directory

Locations

50 Christy Pl
Brockton, MA 02301
Phone (508) 580-6800

NPI Registry JSON

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114905486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 ALLIED DR",
            "address_2": "SUITE 106",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020266122",
            "telephone_number": "781-251-9001",
            "fax_number": "781-251-9007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 CHRISTY PL",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011826",
            "telephone_number": "508-580-6800",
            "fax_number": "508-587-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYPOINTE NURSING HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "IMBRIANO",
        "authorized_official_first_name": "CATERINA",
        "authorized_official_middle_name": "MINA",
        "authorized_official_title_or_position": "ASSISTANT CONTROLLER",
        "authorized_official_telephone_number": "781-251-9001",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "OE4B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0922579",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baypointe Rehab & Skilled Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brockton, 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.