Jacs Ops III Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

JACS OPS III INC

Doing business as

EPOCH Senior Healthcare of Brewster

Practice address

873 Harwich Road
Brewster, MA 02631

Phone

(508) 896-7046

Fax

(508) 896-4820

NPI assigned

Jun 25, 2006

Last updated

Oct 5, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Debora A Pfaff

Title

Cfo

Phone

(781) 891-0777

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• EPOCH Senior Healthcare of Brewster Doing business as

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191542400000",
    "number": "1316973779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 SAWYER ROAD",
            "address_2": "STE 500 EPOCH SENIOR LIVING INC",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "02453",
            "telephone_number": "781-810-1240",
            "fax_number": "781-647-0697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "873 HARWICH ROAD",
            "city": "BREWSTER",
            "state": "MA",
            "postal_code": "02631",
            "telephone_number": "508-896-7046",
            "fax_number": "508-896-4820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACS OPS III INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2007-10-05",
        "status": "A",
        "authorized_official_last_name": "PFAFF",
        "authorized_official_first_name": "DEBORA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "781-891-0777",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0925128",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EPOCH Senior Healthcare of Brewster",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Theodor Thomas Herwig, MD
• Walter Hildner, LICSW
• Susan R Hubler, LCSW
• Cynthia Baur Hutchinson, SLP
• Intelligence Limited Inc
• Jacs Ops III, Inc (EPOCH Assisted Living of Brewster)
• Jennifer Smith LMHC LLC
• Faith Lynne Kapolis, R.D.H.
• Maureen Melinda Keanebottino, RN, CT, CGE, COUNSEL
• Leslie Adrienne Kelley

• Skilled Nursing Facility in Brewster, MA
• Providers in Brewster, 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 Oct 5, 2007; 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.