8 Butler St., Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0145 Issued in MA

Legal business name

8 BUTLER ST., INC.

Doing business as

Blackstone Nursing Home

Practice address

8 Butler St
Blackstone, MA 01504-1541

Phone

(508) 883-5818

Fax

(508) 883-5819

NPI assigned

Dec 12, 2006

Last updated

Dec 16, 2011By 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

Mr. Peter H. Thisse

Title

Controller

Phone

(781) 762-0703

Specialties & licenses 1

Addresses

Other names 1

• Blackstone Nursing Home Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary Ann Bettencourt, LCSW

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

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

{
    "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": [],
    "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

• Skilled Nursing Facility in Blackstone, MA
• Providers in Blackstone, 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 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.