Active NPI
1650 Washington Street Operator LLC
- Skilled Nursing Facility
- West Newton, MA
National Provider Identifier
1174052559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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 LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryOwnership & 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.
-
- Home Health Agency
- Wayland, MA
- NPI 1184901316
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.