Organization Active NPI

Westbrook Heights Rest Home, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • West Brookfield, MA
National Provider Identifier
1285750802
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
1248 Issued in MA
Legal business name
WESTBROOK HEIGHTS REST HOME, INC.
Practice address
180 E.Main Street
West Brookfield, MA 01585-0580
Phone
(508) 867-2062
NPI assigned
Mar 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Germana A Richard, OWNER
Title
Administrator
Phone
(508) 867-2062

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 1248 MA Primary

Addresses

Primary practice location

180 E.Main Street
West Brookfield, MA 01585-0580

Mailing address

PO Box 580
West Brookfield, MA 01585-0580
Phone (508) 867-2062

Other identifiers 1

IdentifierTypeStateIssuer
5509009MedicaidMA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285750802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 580",
            "city": "WEST BROOKFIELD",
            "state": "MA",
            "postal_code": "015850580",
            "telephone_number": "508-867-2062",
            "fax_number": "508-867-2925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 E.MAIN STREET",
            "city": "WEST BROOKFIELD",
            "state": "MA",
            "postal_code": "015850580",
            "telephone_number": "508-867-2062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTBROOK HEIGHTS REST HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RICHARD",
        "authorized_official_first_name": "GERMANA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "508-867-2062",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "MA",
            "license": "1248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5509009",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Brookfield, MA

Sources for this page

  • 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.