Organization Active NPI

Vernon Hall, Inc

  • Skilled Nursing Facility
  • Cambridge, MA
National Provider Identifier
1306833181
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0233 Issued in MA
Legal business name
VERNON HALL, INC
Practice address
8 Dana St
Cambridge, MA 02138-5402
Phone
(617) 864-4267
Fax
(671) 547-6962
NPI assigned
Oct 5, 2005
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
Mrs. Michele P Cronin
Title
Owner
Phone
(617) 864-4267

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0233 MA Primary

Addresses

Primary practice location

8 Dana St
Cambridge, MA 02138-5402

Mailing address

8 Dana St
Cambridge, MA 02138-5402
Phone (617) 864-4267

Other identifiers 1

IdentifierTypeStateIssuer
0911542MedicaidMA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306833181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 DANA ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021385402",
            "telephone_number": "617-864-4267",
            "fax_number": "671-547-6962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 DANA ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021385402",
            "telephone_number": "617-864-4267",
            "fax_number": "671-547-6962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERNON HALL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CRONIN",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-864-4267",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "0233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0911542",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, 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.