Organization Active NPI

The Fitch Home, Inc.

  • Adult Care Home Facility
  • Melrose, MA
National Provider Identifier
1124210141
Registry record updated Aug 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
THE FITCH HOME, INC.
Practice address
75 Lake Ave
Melrose, MA 02176-2701
Phone
(781) 665-0521
Fax
(781) 665-2359
NPI assigned
Aug 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2007

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

Authorized official

Name
Mr. Lester H.N. Burnham
Title
President
Phone
(781) 665-0521

Specialties & licenses 1

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

Addresses

Primary practice location

75 Lake Ave
Melrose, MA 02176-2701

Mailing address

75 Lake Ave
Melrose, MA 02176-2701
Phone (781) 665-0521

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2139876Fitch Home Inc, the75 Lake Ave, Melrose, MA 02176Certificate of waiverNov 9, 2027

National Provider Directory

National Provider Directory

Locations

75 Lake Ave
Melrose, MA 02176
Phone (781) 665-0521

NPI Registry JSON

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187049600000",
    "number": "1124210141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 LAKE AVE",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021762701",
            "telephone_number": "781-665-0521",
            "fax_number": "781-665-2359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 LAKE AVE",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021762701",
            "telephone_number": "781-665-0521",
            "fax_number": "781-665-2359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FITCH HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-14",
        "last_updated": "2007-08-14",
        "status": "A",
        "authorized_official_last_name": "BURNHAM",
        "authorized_official_first_name": "LESTER",
        "authorized_official_middle_name": "H.N.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-665-0521",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "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 Aug 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.