NPIMap

Organization Active NPI

Jacs Ops III, Inc

Doing business as EPOCH Assisted Living of Brewster

  • Assisted Living Facility
  • Brewster, MA
National Provider Identifier
1184740953
Registry record updated Apr 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
JACS OPS III, INC
Doing business as
EPOCH Assisted Living of Brewster
Practice address
855 Harwich Road
Brewster, MA 02631
Phone
(508) 896-3252
Fax
(508) 896-6912
NPI assigned
Mar 22, 2007
Last updated
Apr 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2008

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

Authorized official

Name
Ms. Debora Pfaff
Title
Cfo
Phone
(877) 376-2475

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

855 Harwich Road
Brewster, MA 02631

Mailing address

Epoch Senior Living
51 Sawyer Road, Suite 500
Waltham, MA 02453
Phone (781) 810-1240

Other identifiers 1

IdentifierTypeStateIssuer
1903675MedicaidMA

Other names 1

  • EPOCH Assisted Living of Brewster Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Epoch Assisted Living of Brewster3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207267200000",
    "number": "1184740953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "EPOCH SENIOR LIVING",
            "address_2": "51 SAWYER ROAD, SUITE 500",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "02453",
            "telephone_number": "781-810-1240",
            "fax_number": "781-647-0697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 HARWICH ROAD",
            "city": "BREWSTER",
            "state": "MA",
            "postal_code": "02631",
            "telephone_number": "508-896-3252",
            "fax_number": "508-896-6912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACS OPS III, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2008-04-04",
        "status": "A",
        "authorized_official_last_name": "PFAFF",
        "authorized_official_first_name": "DEBORA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "877-376-2475",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1903675",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EPOCH Assisted Living of Brewster",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brewster, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2008; 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.