Roderick Family LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

RODERICK FAMILY LLC

Practice address

46 Lincoln St
Winthrop, MA 02152-2151

Phone

(617) 440-9258

Fax

(617) 207-3010

NPI assigned

Mar 6, 2020

Organization subpart

No

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

Authorized official

Name

Gregory A. Roderick

Title

Manager

Phone

(503) 443-1818

Specialties & licenses 1

Addresses

Other names 1

• The Parc at Harbor View Senior Living Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1583452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583452800000",
    "number": "1396370649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7420 SW BRIDGEPORT RD STE 105",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972247790",
            "telephone_number": "503-597-4906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 LINCOLN ST",
            "city": "WINTHROP",
            "state": "MA",
            "postal_code": "021522151",
            "telephone_number": "617-440-9258",
            "fax_number": "617-207-3010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODERICK FAMILY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-06",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A",
        "authorized_official_last_name": "RODERICK",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "503-443-1818"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Parc at Harbor View Senior Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Jeanne Recchia, MSW, LICSW
• Elizabeth Anna Rein, RN
• Victoria Reyes
• John Michael Riley, PH.D.
• Timothy Rivotto
• Samuels Pharmacy Inc
• Jade Santangelo, LMHC
• Alexandria Santiago, LICSW
• Bridget A Schulz, APRN
• Richard A Schwartz, D.M.D.

• Assisted Living Facility in Winthrop, MA
• Providers in Winthrop, MA by specialty
• Assisted Living Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.