NPIMap

Organization Active NPI

Seashore Point Wellness and Rehab

  • Skilled Nursing Facility
  • Provincetown, MA
National Provider Identifier
1346470135
Registry record updated Jul 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
11096 Issued in MA
Legal business name
SEASHORE POINT WELLNESS AND REHAB
Practice address
100 Alden St
Provincetown, MA 02657-1456
Phone
(508) 487-7777
Fax
(508) 487-7706
NPI assigned
Jul 15, 2009
Last updated
Jul 15, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
SEASHORE POINTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 15, 2009

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

Authorized official

Name
Mr. Craig Montminy, OTR/L
Title
Rehab Manager
Phone
(508) 487-7777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 11096 MA Primary

Addresses

Primary practice location

100 Alden St
Provincetown, MA 02657-1456

Mailing address

100 Alden St
Provincetown, MA 02657-1456
Phone (508) 487-7777

Other identifiers 1

IdentifierTypeStateIssuer
1106OtherMAMA STATE LIC NUMBER

Other names 1

  • Seashore Point Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Seashore Point - Deaconess Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247616000000",
    "number": "1346470135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ALDEN ST",
            "city": "PROVINCETOWN",
            "state": "MA",
            "postal_code": "026571456",
            "telephone_number": "508-487-7777",
            "fax_number": "508-487-7706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ALDEN ST",
            "city": "PROVINCETOWN",
            "state": "MA",
            "postal_code": "026571456",
            "telephone_number": "508-487-7777",
            "fax_number": "508-487-7706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASHORE POINT WELLNESS AND REHAB",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SEASHORE POINT",
        "enumeration_date": "2009-07-15",
        "last_updated": "2009-07-15",
        "status": "A",
        "authorized_official_last_name": "MONTMINY",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "REHAB MANAGER",
        "authorized_official_telephone_number": "508-487-7777",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "11096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA STATE LIC NUMBER",
            "identifier": "1106",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seashore Point",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Provincetown, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2009; 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.