Lse PHV LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

LSE PHV LLC

Practice address

46 Lincoln St
Winthrop, MA 02152-2151

Phone

(612) 207-3009

NPI assigned

Apr 17, 2026

Organization subpart

No

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

Authorized official

Name

Darley Nazaire

Title

Director

Phone

(612) 207-3009

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1776384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776384000000",
    "number": "1336083559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 LINCOLN ST",
            "city": "WINTHROP",
            "state": "MA",
            "postal_code": "021522151",
            "telephone_number": "612-207-3009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 LINCOLN ST",
            "city": "WINTHROP",
            "state": "MA",
            "postal_code": "021522151",
            "telephone_number": "612-207-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LSE PHV LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-17",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A",
        "authorized_official_last_name": "NAZAIRE",
        "authorized_official_first_name": "DARLEY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "612-207-3009"
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Laurena Macdougall Lyons, M.ED., LMFT
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• Ann Mahoney, LCSW
• Michelle Ann Marino, PT

• Assisted Living Facility in Winthrop, MA
• Providers in Winthrop, MA by specialty
• Assisted Living Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; 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.