BMSH II LCB Dedham Ma LLC
Organization Active NPI Assisted Living Facility · Dedham, MA
NPI 1194432906 · NPPES record last updated Nov 1, 2022
Key facts
- NPI
- 1194432906
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- Legal business name
- BMSH II LCB DEDHAM MA LLC
- Practice address
- 735 Washington St
Dedham, MA 02026-4462 - Phone
- (781) 251-9330
- Fax
- (781) 251-9329
- NPI assigned
- Nov 1, 2022
- Organization subpart
- No
Authorized official
- Name
- Mr. Leo Jacques
- Title
- Controller
- Phone
- (781) 619-9327
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D2194995 | The Traditions of Dedham | Certificate of waiver | Oct 5, 2026 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Yes |
Addresses
Primary practice location
735 Washington St
Dedham, MA 02026-4462
Mailing address
735 Washington St
Dedham, MA 02026-4462
Phone (781) 251-9330
Other names
- Traditions of Dedham
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ljacques@lcbseniorliving.com | Direct | LCB Norton, LLC |
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All providers in Dedham, MA · Assisted Living Facility in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 1, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.