Organization Active NPI

Bedford Village Nursing Home, Inc.

  • Skilled Nursing Facility
  • New Bedford, MA
National Provider Identifier
1356338602
Registry record updated Nov 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
BEDFORD VILLAGE NURSING HOME, INC.
Practice address
9 Pope St
New Bedford, MA 02740-5425
Phone
(508) 990-1133
Fax
(508) 990-2379
NPI assigned
Oct 3, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2007

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

Authorized official

Name
Beth Manny
Title
Office Manager
Phone
(508) 990-1133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

9 Pope St
New Bedford, MA 02740-5425

Mailing address

PO Box 4024
New Bedford, MA 02741-4024
Phone (508) 990-1133

Other identifiers 1

IdentifierTypeStateIssuer
0915521MedicaidMA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194480000000",
    "number": "1356338602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4024",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027414024",
            "telephone_number": "508-990-1133",
            "fax_number": "508-990-2379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 POPE ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027405425",
            "telephone_number": "508-990-1133",
            "fax_number": "508-990-2379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEDFORD VILLAGE NURSING HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-03",
        "last_updated": "2007-11-08",
        "status": "A",
        "authorized_official_last_name": "MANNY",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "508-990-1133"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0915521",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bedford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; 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.