Marian Manor

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

MARIAN MANOR

Doing business as

Bethany House

Practice address

72 Church GRN
Taunton, MA 02780-3445

Phone

(508) 822-9200

NPI assigned

Jun 14, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Edmund J Fitzgerald

Title

Executive Director

Phone

(508) 679-8154

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bethany House Doing business as

Tax ID family

Bethany House2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Marian Manor, Inc.

  • Skilled Nursing Facility
  • Taunton, MA
  • NPI 1538154331
  NPD tax ID

Locations

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154364552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 CHURCH GRN",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027803445",
            "telephone_number": "508-822-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 CHURCH GRN",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027803445",
            "telephone_number": "508-822-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIAN MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD",
        "authorized_official_first_name": "EDMUND",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "508-679-8154"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902369",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bethany House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Haley Marble
• Lauren Agnes Marcelonis, PHARMD
• Stephen John Marcotte, MSW INTERN
• Jonathan Paul Marcus, LICSW
• Joan Maressa, LMHC
• Marian Manor, Inc.
• Mark R. Turner, DDS
• Linda Marie Marot, B.S. MSW
• Amaya T Marshall
• Kelly Ann Martin, D.C.

• Adult Day Care Clinic/Center in Taunton, MA
• Providers in Taunton, MA by specialty
• Adult Day Care Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.