John Bertram House of Swampscott, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

JOHN BERTRAM HOUSE OF SWAMPSCOTT, INC.

Doing business as

Bertram House of Swampscott

Practice address

29 Washington SQ
Salem, MA 01970-4014

Phone

(978) 744-1002

NPI assigned

Mar 27, 2007

Organization subpart

No

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

Authorized official

Name

Paula Lancisi

Title

Executive Director

Phone

(978) 744-1002

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bertram House of Swampscott Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205954286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 WASHINGTON SQ",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019704014",
            "telephone_number": "978-744-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 WASHINGTON SQ",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019704014",
            "telephone_number": "978-744-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN BERTRAM HOUSE OF SWAMPSCOTT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LANCISI",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "978-744-1002"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1903764",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bertram House of Swampscott",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Salem, MA
• Providers in Salem, MA by specialty
• Assisted Living Facility in Massachusetts

• 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.