Organization Active NPI

Guarino Grimes LLC Dba Baker Katz Nursing Home

  • Skilled Nursing Facility
  • Haverhill, MA
National Provider Identifier
1184618613
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
3005 Issued in MA
Legal business name
GUARINO GRIMES LLC DBA BAKER KATZ NURSING HOME
Practice address
194 Boardman St
Haverhill, MA 01830-6405
Phone
(978) 373-5697
Fax
(978) 373-3030
NPI assigned
Sep 12, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. William Grimes, NHA
Title
Administrator
Phone
(978) 373-5697

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 3005 MA Primary

Addresses

Primary practice location

194 Boardman St
Haverhill, MA 01830-6405

Mailing address

194 Boardman St
P.O. Box 1598
Haverhill, MA 01830-6405
Phone (978) 373-5697

Other identifiers 1

IdentifierTypeStateIssuer
0929212MedicaidMA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184618613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 BOARDMAN ST",
            "address_2": "P.O. BOX 1598",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018306405",
            "telephone_number": "978-373-5697",
            "fax_number": "978-373-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 BOARDMAN ST",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018306405",
            "telephone_number": "978-373-5697",
            "fax_number": "978-373-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARINO GRIMES LLC DBA BAKER KATZ NURSING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRIMES",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "978-373-5697",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "3005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0929212",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Haverhill, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.