70 Granite Street Operating Company, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

70 GRANITE STREET OPERATING COMPANY, LLC

Doing business as

North Shore Health Care Center

Practice address

70 Granite St
Lynn, MA 01904-2915

Phone

(781) 581-2400

Fax

(781) 581-3080

NPI assigned

Jul 15, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Kevin P Breslin

Title

Executive VP

Phone

(201) 242-4004

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• North Shore Health Care Center Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sandra Jane Crawford-Zanger, ANP

  • Adult Health Nurse Practitioner
  • Boston, MA
  • NPI 1427299080
  NPD (past)

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346249075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 GRANITE ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019042915",
            "telephone_number": "781-581-2400",
            "fax_number": "781-581-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 GRANITE ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019042915",
            "telephone_number": "781-581-2400",
            "fax_number": "781-581-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "70 GRANITE STREET OPERATING COMPANY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRESLIN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "EXECUTIVE VP",
        "authorized_official_telephone_number": "201-242-4004",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0926884",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Shore Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 1804 Transport
• 1St Alternative Healthcare Staffing, LLC
• Aaa North Shore Transportation LLC
• Karla S Abad, LCSW
• Samantha Abate
• Abc Visiting Nurses Inc
• Karen L Abdool, M.D., PH.D

• Skilled Nursing Facility in Lynn, MA
• Providers in Lynn, 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 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.