Charles Group Holdings Inc

Key facts

NPI

1134549645

Entity type

Organization (NPI type 2)

Primary specialty

Nursing Facility/Intermediate Care Facility 313M00000X

Legal business name

CHARLES GROUP HOLDINGS INC

Practice address

71 Union St
Millis, MA 02054-1269

Phone

(508) 376-5083

NPI assigned

Apr 23, 2014

Organization subpart

No

Authorized official

Name

Annette Fernandez

Title

President

Phone

(502) 649-6604

National Provider Directory

Specialties & licenses

Addresses

Other names

• Willowbrook Manor Rest Home Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 23, 2014.

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398211200000",
    "number": "1134549645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 SHANNON DR",
            "city": "WHITINSVILLE",
            "state": "MA",
            "postal_code": "015883319",
            "telephone_number": "502-649-6604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 UNION ST",
            "city": "MILLIS",
            "state": "MA",
            "postal_code": "020541269",
            "telephone_number": "508-376-5083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES GROUP HOLDINGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-23",
        "last_updated": "2014-04-23",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-649-6604"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willowbrook Manor Rest Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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