8 Butler St., Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0145 Issued in MA

Legal business name

8 BUTLER ST., INC.

Practice address

8 Butler St
Blackstone, MA 01504-1541

Phone

(508) 883-5818

Fax

(508) 883-5819

NPI assigned

Dec 12, 2006

Organization subpart

No

Name

Mr. Peter H. Thisse

Title

Controller

Phone

(781) 762-0703

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Ann Bettencourt, LCSW

  • Social Worker
  • Blackstone, MA
  • NPI 1588944797
  NPD (past)

Locations

• Blackstone Nursing Home Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 16, 2011.

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323993600000",
    "number": "1164583589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 ACCESS RD",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020625237",
            "telephone_number": "781-762-0703",
            "fax_number": "781-762-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 BUTLER ST",
            "city": "BLACKSTONE",
            "state": "MA",
            "postal_code": "015041541",
            "telephone_number": "508-883-5818",
            "fax_number": "508-883-5819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "8 BUTLER ST., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2011-12-16",
        "status": "A",
        "authorized_official_last_name": "THISSE",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "781-762-0703",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "0145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0915548",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NSC",
            "identifier": "0692820001",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blackstone Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nell Jocelyn Benedict
• Anna Berin, LMHC, PSYD
• Cody Bertrand
• Mary Ann Bettencourt, LCSW
• Blackstone Valley Dental Associates, LLC

• All providers in Blackstone, MA
• Skilled Nursing Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2011; 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.