West Revere Health Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0864 Issued in MA

Legal business name

WEST REVERE HEALTH CENTER, LLC

Practice address

133 Salem St
Revere, MA 02151-1114

Phone

(781) 322-4861

NPI assigned

Feb 2, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Eli Fisch

Title

Director of Vendor Relations

Phone

(732) 710-4431

Specialties & licenses 1

Addresses

Other names 1

• West Revere Health Center Doing business as

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

{
    "created_epoch": "1422835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422835200000",
    "number": "1417347170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2363 LAKEWOOD RD",
            "address_2": "FLOOR 2",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087551524",
            "telephone_number": "732-710-4431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 SALEM ST",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021511114",
            "telephone_number": "781-322-4861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST REVERE HEALTH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-02",
        "last_updated": "2015-02-02",
        "status": "A",
        "authorized_official_last_name": "FISCH",
        "authorized_official_first_name": "ELI",
        "authorized_official_title_or_position": "DIRECTOR OF VENDOR RELATIONS",
        "authorized_official_telephone_number": "732-710-4431",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "0864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Revere Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marie A Washington, RN
• We Care Physical Therapy
• Eric M Weil, MD
• Lindsay Beth Weiss, PSY.D
• Wells Physical Therapy & Associates
• Amy Ellen Wheeler, MD
• Emily J Wilcox, NP
• Chiarina Susan Williams, FNP-C
• Leyanna Marie Williams, RN
• Meghan Evelyn Wilson, PA-C

• Skilled Nursing Facility in Revere, MA
• Providers in Revere, 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 Feb 2, 2015; 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.