Organization Active NPI

Oosterman'S Melrose Rest Home Inc.

  • Custodial Care Facility
  • Melrose, MA
National Provider Identifier
1124267299
Registry record updated Feb 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Custodial Care FacilityTaxonomy code 311Z00000X
License
642 Issued in MA
Legal business name
OOSTERMAN'S MELROSE REST HOME INC.
Practice address
101 Laurel St
Melrose, MA 02176-4044
Phone
(781) 665-3188
Fax
(781) 665-2295
NPI assigned
Feb 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2009

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

Authorized official

Name
Mr. Robert T Oosterman
Title
President
Phone
(781) 665-3188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X 642 MA Primary

Addresses

Primary practice location

101 Laurel St
Melrose, MA 02176-4044

Mailing address

101 Laurel St
Melrose, MA 02176-4044
Phone (781) 665-3188

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1234483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234483200000",
    "number": "1124267299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 LAUREL ST",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021764044",
            "telephone_number": "781-665-3188",
            "fax_number": "781-665-0529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 LAUREL ST",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021764044",
            "telephone_number": "781-665-3188",
            "fax_number": "781-665-2295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OOSTERMAN'S MELROSE REST HOME INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-13",
        "last_updated": "2009-02-13",
        "status": "A",
        "authorized_official_last_name": "OOSTERMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-665-3188",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "MA",
            "license": "642",
            "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 Feb 13, 2009; 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.