Active NPI
Grosvenor Park Health Center, LLC
- Skilled Nursing Facility
- Salem, MA
National Provider Identifier
1235523184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0968
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.