NPIMap

Organization Active NPI

Golden Life Board & Care Home, Inc.

  • Assisted Living Facility
  • Webster, MA
National Provider Identifier
1164760609
Registry record updated Jan 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
06909 Issued in AZ
Legal business name
GOLDEN LIFE BOARD & CARE HOME, INC.
Practice address
15 Aldrich St
Webster, MA 01570-2315
Phone
(508) 943-7411
Fax
(508) 943-9655
NPI assigned
Jan 17, 2013
Last updated
Jan 17, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2013

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

Authorized official

Name
Elizabeth Fras
Title
President
Phone
(508) 943-7411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 06909 AZ Primary

Addresses

Primary practice location

15 Aldrich St
Webster, MA 01570-2315

Mailing address

15 Aldrich St
Webster, MA 01570-2315
Phone (508) 943-7411

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1358380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358380800000",
    "number": "1164760609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 ALDRICH ST",
            "city": "WEBSTER",
            "state": "MA",
            "postal_code": "015702315",
            "telephone_number": "508-943-7411",
            "fax_number": "508-943-9655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 ALDRICH ST",
            "city": "WEBSTER",
            "state": "MA",
            "postal_code": "015702315",
            "telephone_number": "508-943-7411",
            "fax_number": "508-943-9655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN LIFE BOARD & CARE HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-17",
        "last_updated": "2013-01-17",
        "status": "A",
        "authorized_official_last_name": "FRAS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-943-7411"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "06909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; 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.