New England Long Term Care, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0756 Issued in MA

Legal business name

NEW ENGLAND LONG TERM CARE, INC.

Doing business as

New England Pediatric Care

Practice address

78 Boston Rd
Billerica, MA 01862-1034

Phone

(978) 667-5123

Fax

(978) 663-5154

NPI assigned

Jun 29, 2006

Organization subpart

No

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

Authorized official

Name

Ellen J. O'Gorman, NHA

Title

Executive Director

Phone

(978) 667-5123

Specialties & licenses 1

Addresses

Other identifiers 8

Other names 1

• New England Pediatric Care Doing business as

Tax ID family

New England Long Term Care Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Tufts Medical Center Parent Inc

  dba New England Long Term Care Inc

  • Pediatric Skilled Nursing Facility
  • Billerica, MA
  • NPI 1801832274
  NPD tax ID

Locations

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275561383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 BOSTON RD",
            "city": "N BILLERICA",
            "state": "MA",
            "postal_code": "018621034",
            "telephone_number": "978-667-5123",
            "fax_number": "978-663-5154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 BOSTON RD",
            "city": "BILLERICA",
            "state": "MA",
            "postal_code": "018621034",
            "telephone_number": "978-667-5123",
            "fax_number": "978-663-5154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ENGLAND LONG TERM CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "O'GORMAN",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "978-667-5123",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "0756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0930377",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA-HMO",
            "identifier": "551849",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS - OUTPATIENT REHAB",
            "identifier": "2222599910",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "710039",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS - MEDICARE BLUE",
            "identifier": "2222599901",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS-IND/PPO/VENT",
            "identifier": "2222599902",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "0020348",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "904729",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New England Pediatric Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carolyne Namakula
• Proscovia Namatovu
• Olive Christine Nambasa, LPN
• Eleanor C Ndagire
• Albert Nduati, NURSE
• New England Oral Surgery Associates
• New England Oral Surgery Associates LLC
• New England Speech Therapy Inc
• Phuongdai Nguyen, B.S
• Susan Nickerson

• Skilled Nursing Facility in Billerica, MA
• Providers in Billerica, MA by specialty
• Skilled Nursing 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.