Organization Active NPI

Guarino Grimes, LLC

  • Skilled Nursing Facility
  • Haverhill, MA
National Provider Identifier
1295871333
Registry record updated Dec 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0271 Issued in MA
Legal business name
GUARINO GRIMES, LLC
Practice address
194 Boardman St
Haverhill, MA 01830-6405
Phone
(978) 373-5697
Fax
(978) 373-3030
NPI assigned
Jan 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2011

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

Authorized official

Name
Mr. William Patrick Grimes
Title
Administrator
Phone
(978) 373-5697

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0271 MA Primary

Addresses

Primary practice location

194 Boardman St
Haverhill, MA 01830-6405

Mailing address

194 Boardman St
Haverhill, MA 01830-6405
Phone (978) 373-5697

Other identifiers 1

IdentifierTypeStateIssuer
0929212MedicaidMA

National Provider Directory

National Provider Directory

Locations

194 Boardman St
Haverhill, MA 01830
Phone (978) 373-5597

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323734400000",
    "number": "1295871333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 BOARDMAN ST",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018306405",
            "telephone_number": "978-373-5697",
            "fax_number": "978-373-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 BOARDMAN ST",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018306405",
            "telephone_number": "978-373-5697",
            "fax_number": "978-373-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARINO GRIMES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2011-12-13",
        "status": "A",
        "authorized_official_last_name": "GRIMES",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "978-373-5697",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "0271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0929212",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Haverhill, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; 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.