Organization Active NPI

Grosvenor Park Health Center, LLC

  • Skilled Nursing Facility
  • Salem, MA
National Provider Identifier
1235523184
Registry record updated Mar 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0968 Issued in MA
Legal business name
GROSVENOR PARK HEALTH CENTER, LLC
Practice address
7 Loring Hills Ave
Salem, MA 01970-4267
Phone
(978) 741-5700
NPI assigned
Mar 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2015

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

Authorized official

Name
Mr. Eli Fisch
Title
Director of Vendor Relations
Phone
(732) 710-4431

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0968 MA Primary

Addresses

Primary practice location

7 Loring Hills Ave
Salem, MA 01970-4267

Mailing address

2363 Lakewood Rd
Floor 2
Toms River, NJ 08755-1524
Phone (732) 710-4431

Other names 1

  • Grosvenor Park Health Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1427414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427414400000",
    "number": "1235523184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2363 LAKEWOOD RD",
            "address_2": "FLOOR 2",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087551524",
            "telephone_number": "732-710-4431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 LORING HILLS AVE",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019704267",
            "telephone_number": "978-741-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROSVENOR PARK HEALTH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-27",
        "last_updated": "2015-03-27",
        "status": "A",
        "authorized_official_last_name": "FISCH",
        "authorized_official_first_name": "ELI",
        "authorized_official_title_or_position": "DIRECTOR OF VENDOR RELATIONS",
        "authorized_official_telephone_number": "732-710-4431",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "0968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grosvenor Park Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salem, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2015; 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.