Organization Active NPI

Samuel Marcus Nursing Home

  • Skilled Nursing Facility
  • Weymouth, MA
National Provider Identifier
1114917044
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SAMUEL MARCUS NURSING HOME
Practice address
28 Front St
Weymouth, MA 02188-1605
Phone
(781) 337-9074
Fax
(781) 335-0151
NPI assigned
Oct 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

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

Authorized official

Name
Mr. Leonard F. Arabia
Title
President
Phone
(781) 337-0772

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

28 Front St
Weymouth, MA 02188-1605

Mailing address

28 Front St
Weymouth, MA 02188-1605
Phone (781) 337-9074

Other identifiers 1

IdentifierTypeStateIssuer
0920738MedicaidMA

National Provider Directory

National Provider Directory

Locations

28 Front St
Weymouth, MA 02188
Phone (781) 337-9074

NPI Registry JSON

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

{
    "created_epoch": "1129939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1114917044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 FRONT ST",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021881605",
            "telephone_number": "781-337-9074",
            "fax_number": "781-335-0151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 FRONT ST",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021881605",
            "telephone_number": "781-337-9074",
            "fax_number": "781-335-0151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL MARCUS NURSING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-22",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "ARABIA",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-337-0772",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0920738",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weymouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; 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.