Waban Health Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0387 Issued in MA

Legal business name

WABAN HEALTH CENTER, LLC

Practice address

20 Kinmonth Rd
Waban, MA 02468-1503

Phone

(617) 332-8481

Fax

(617) 332-8959

NPI assigned

Jan 15, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Avi Lipshutz

Title

Ceo

Phone

(732) 710-4431

Specialties & licenses 1

Addresses

Other names 1

• Waban Health Center Doing business as

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

{
    "created_epoch": "1389744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396396800000",
    "number": "1346662046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 KINMONTH RD",
            "city": "WABAN",
            "state": "MA",
            "postal_code": "024681503",
            "telephone_number": "617-332-8481",
            "fax_number": "617-332-8959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 KINMONTH RD",
            "city": "WABAN",
            "state": "MA",
            "postal_code": "024681503",
            "telephone_number": "617-332-8481",
            "fax_number": "617-332-8959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WABAN HEALTH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-15",
        "last_updated": "2014-04-02",
        "status": "A",
        "authorized_official_last_name": "LIPSHUTZ",
        "authorized_official_first_name": "AVI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "732-710-4431",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "0387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Waban Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emily Weymouth Sonier, LICSW
• Soo Jeong Youn LLC
• Howard Marvin Stern, M.D., PH.D.
• Maureen Sayres Van Niel, M.D.
• Waban Dental Specialist Group
• Peggy Ellen Warren, MD
• Harvey S Waxman, PH.D.
• Cindy Penenberg Wechter, LICSW
• Gordon Kenneth Weiner, PH.D.
• Karen Maxine Weisgerber, PH.D.

• Skilled Nursing Facility in Waban, MA
• Providers in Waban, 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 Apr 2, 2014; 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.