Life Care Centers of America, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0725 Issued in MA

Legal business name

LIFE CARE CENTERS OF AMERICA, INC.

Doing business as

Life Care Center of Merrimack Valley

Practice address

80 Boston Rd
North Billerica, MA 01862-1034

Phone

(978) 667-2166

Fax

(978) 670-5625

NPI assigned

Apr 4, 2006

Organization subpart

No

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

Authorized official

Name

Cindy S Cross

Title

Assistant Secretary

Phone

(423) 473-5687

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Life Care Center of Merrimack Valley Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Life Care Centers of America, Inc.

  dba Life Care Center of Westlake

  • Skilled Nursing Facility
  • Westlake, OH
  • NPI 1578526372

  Member Of

  NPD member

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631664000000",
    "number": "1346202520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 KEITH ST NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373123713",
            "telephone_number": "423-473-5751",
            "fax_number": "423-339-8342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 BOSTON RD",
            "city": "NORTH BILLERICA",
            "state": "MA",
            "postal_code": "018621034",
            "telephone_number": "978-667-2166",
            "fax_number": "978-670-5625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CARE CENTERS OF AMERICA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-04",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A",
        "authorized_official_last_name": "CROSS",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "423-473-5687"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "0725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0923095",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Care Center of Merrimack Valley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephen M Karanja
• Keen Care LLC
• Chih-Ming Ko, D.M.D.
• Berenice Tchandjib Kobu, FNP
• Wai Kee Lee, D.M.D.
• Josephine Nakazibwe Lwanga
• Stacey Allison Maclean, MSW, LICSW
• Fathyeh F Marvasti, M.D.
• Caroline Namuzinda Mawanda
• McCormacks Drug Inc (Medical Center Pharmacy)

• Skilled Nursing Facility in North Billerica, MA
• Providers in North Billerica, 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 Sep 15, 2021; 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.