Beaumont at University Campus LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

BEAUMONT AT UNIVERSITY CAMPUS LLC

Practice address

378 Plantation Street
Worcester, MA 01605

Phone

(508) 755-7300

NPI assigned

Jun 25, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Gary Sacon

Title

Cfo

Phone

(508) 898-3490

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228348800000",
    "number": "1144482779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "378 PLANTATION STREET",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "01605",
            "telephone_number": "508-755-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "378 PLANTATION STREET",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "01605",
            "telephone_number": "508-755-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUMONT AT UNIVERSITY CAMPUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-25",
        "last_updated": "2008-12-04",
        "status": "A",
        "authorized_official_last_name": "SACON",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "508-898-3490",
        "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": "0940763",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ellen Beaudreau
• Kim Beaudry, NP
• Catherine Christina Beauharnais, MD, MPH
• Dennis Kevin Beaulieu
• Meghan L Beaulieu, NNP-BC
• Lindsey Marie Beauregard, RD
• Lizabeth Lorraine Beauregard, OTR/L
• Meagan Beauregard, OTA/L
• Michelle Beauregard
• Beauti4You Salon & Spa

• Skilled Nursing Facility in Worcester, MA
• Providers in Worcester, MA by specialty
• Skilled Nursing Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.