Organization Active NPI

Alliance Health of Lynn, Inc.

  • Skilled Nursing Facility
  • Lynn, MA
National Provider Identifier
1245217025
Registry record updated Aug 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0320 Issued in MA
Legal business name
ALLIANCE HEALTH OF LYNN, INC.
Practice address
28 Essex St
Lynn, MA 01902
Phone
(781) 595-5500
Fax
(781) 595-3624
NPI assigned
Dec 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2018

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

Authorized official

Name
Paul B Kemp
Title
Treasurer
Phone
(774) 348-2001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0320 MA Primary

Addresses

Primary practice location

28 Essex St
Lynn, MA 01902

Mailing address

28 Essex St
Lynn, MA 01902-1754
Phone (781) 595-5500

Other identifiers 1

IdentifierTypeStateIssuer
110132261AMedicaidMA

Other names 1

  • Alliance Health at Abbott 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": "1135209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535328000000",
    "number": "1245217025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 ESSEX ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019021754",
            "telephone_number": "781-595-5500",
            "fax_number": "781-595-3624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 ESSEX ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "01902",
            "telephone_number": "781-595-5500",
            "fax_number": "781-595-3624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE HEALTH OF LYNN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-22",
        "last_updated": "2018-08-27",
        "status": "A",
        "authorized_official_last_name": "KEMP",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "774-348-2001"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "0320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110132261A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alliance Health at Abbott",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Alliance Health at Abbott",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lynn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; 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.