Organization Active NPI

Bourne Management Systems Inc

Doing business as Bourne Manor Extended Care Facility

  • Skilled Nursing Facility
  • Bourne, MA
National Provider Identifier
1396880449
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0903 Issued in MA
Legal business name
BOURNE MANAGEMENT SYSTEMS INC
Doing business as
Bourne Manor Extended Care Facility
Practice address
146 Macarthur Blvd
Bourne, MA 02532-3902
Phone
(508) 759-8880
Fax
(508) 759-8883
NPI assigned
Feb 20, 2007
Last updated
Nov 13, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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

Authorized official

Name
Ms. Amale Neary
Title
Associate VP Finance
Phone
(413) 447-2416

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0903 MA Primary

Addresses

Primary practice location

146 Macarthur Blvd
Bourne, MA 02532-3902

Mailing address

146 Macarthur Blvd
Bourne, MA 02532-3902
Phone (508) 759-8880

Other identifiers 1

IdentifierTypeStateIssuer
0919241MedicaidMA

Other names 1

  • Bourne Manor Extended Care Facility Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1396880449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 MACARTHUR BLVD",
            "city": "BOURNE",
            "state": "MA",
            "postal_code": "025323902",
            "telephone_number": "508-759-8880",
            "fax_number": "508-759-8883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 MACARTHUR BLVD",
            "city": "BOURNE",
            "state": "MA",
            "postal_code": "025323902",
            "telephone_number": "508-759-8880",
            "fax_number": "508-759-8883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOURNE MANAGEMENT SYSTEMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "NEARY",
        "authorized_official_first_name": "AMALE",
        "authorized_official_title_or_position": "ASSOCIATE VP FINANCE",
        "authorized_official_telephone_number": "413-447-2416",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "0903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0919241",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bourne Manor Extended Care Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bourne, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.