Organization Active NPI

1650 Washington Street Operator LLC

  • Skilled Nursing Facility
  • West Newton, MA
National Provider Identifier
1174052559
Registry record updated Jun 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
1650 WASHINGTON STREET OPERATOR LLC
Practice address
1650 Washington St
West Newton, MA 02465-2241
Phone
(617) 244-5407
Fax
(617) 244-9322
NPI assigned
Jun 8, 2017
Organization subpart
Yes
Parent organization
NEXT STEP HEALTHCARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 8, 2017

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

Authorized official

Name
William Howard Stephan
Title
Chief Financial Officer
Phone
(617) 943-7747

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1650 Washington St
West Newton, MA 02465-2241

Mailing address

75 2ND Ave Ste 605
Needham, MA 02494-2863
Phone (617) 943-7747

National Provider Directory

National Provider Directory

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496880000000",
    "number": "1174052559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 2ND AVE STE 605",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024942863",
            "telephone_number": "617-943-7747",
            "fax_number": "617-454-1051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 WASHINGTON ST",
            "city": "WEST NEWTON",
            "state": "MA",
            "postal_code": "024652241",
            "telephone_number": "617-244-5407",
            "fax_number": "617-244-9322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1650 WASHINGTON STREET OPERATOR LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEXT STEP HEALTHCARE LLC",
        "enumeration_date": "2017-06-08",
        "last_updated": "2017-06-08",
        "status": "A",
        "authorized_official_last_name": "STEPHAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "617-943-7747"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Newton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2017; 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.