Organization Active NPI

Admiral'S Hill Assisted Living II, LLC

  • Alzheimer Center (Dementia Center)
  • Chelsea, MA
National Provider Identifier
1386634020
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Alzheimer Center (Dementia Center)Taxonomy code 311500000X
Legal business name
ADMIRAL'S HILL ASSISTED LIVING II, LLC
Practice address
175 Captains Row
Chelsea, MA 02150-4079
Phone
(617) 889-8740
Fax
(617) 887-0135
NPI assigned
Oct 25, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Barry S. Berman
Title
Executive Director
Phone
(617) 889-6766

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Alzheimer Center (Dementia Center) 311500000X MA Primary

Addresses

Primary practice location

175 Captains Row
Chelsea, MA 02150-4079

Mailing address

17 Lafayette Ave
Chelsea, MA 02150-2010
Phone (617) 884-6766

Other identifiers 1

IdentifierTypeStateIssuer
1902873MedicaidMA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386634020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 LAFAYETTE AVE",
            "city": "CHELSEA",
            "state": "MA",
            "postal_code": "021502010",
            "telephone_number": "617-884-6766",
            "fax_number": "617-889-6176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 CAPTAINS ROW",
            "city": "CHELSEA",
            "state": "MA",
            "postal_code": "021504079",
            "telephone_number": "617-889-8740",
            "fax_number": "617-887-0135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADMIRAL'S HILL ASSISTED LIVING II, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERMAN",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "617-889-6766",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902873",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelsea, MA

Sources for this page

  • 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.