Corey Assisted Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

COREY ASSISTED LIVING LLC

Doing business as

Providence House Senior Living Community

Practice address

180 Corey Rd
Brighton, MA 02135-8239

Phone

(617) 731-0505

Fax

(617) 731-0599

NPI assigned

Mar 16, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Richard Johnson

Title

Executive Director

Phone

(617) 731-0505

Specialties & licenses 1

Addresses

Other names 1

• Providence House Senior Living Community Doing business as

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225162415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 COREY RD",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021358239",
            "telephone_number": "617-731-0505",
            "fax_number": "617-731-0599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 COREY RD",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021358239",
            "telephone_number": "617-731-0505",
            "fax_number": "617-731-0599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COREY ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "617-731-0505",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Providence House Senior Living Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maureen Cook, MD
• Abigail Sage Coons, MS
• Beverly Corbett, ED.D.
• Eleanor Corcoran
• Rosemary Elvira Corderi, MD
• Corey Hill Nursing Home, Inc.
• Yorlady S Corredor-Purcifull, MSW
• Alexandra Corrigan
• Tacy Corson, SLP
• Kathryn Elizabeth Couger

• Assisted Living Facility in Brighton, MA
• Providers in Brighton, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.