Organization Active NPI

Elizabeth Catherine Rest Home LLC

  • Custodial Care Facility
  • Weymouth, MA
National Provider Identifier
1417529066
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Custodial Care FacilityTaxonomy code 311Z00000X
Legal business name
ELIZABETH CATHERINE REST HOME LLC
Practice address
27 Front St
Weymouth, MA 02188-1604
Phone
(781) 337-0772
NPI assigned
Jul 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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

Authorized official

Name
Mr. Irshad Sideeka
Title
Manager/Member
Phone
(617) 751-0444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X Primary

Addresses

Primary practice location

27 Front St
Weymouth, MA 02188-1604

Mailing address

38 Welch Rd
Brookline, MA 02445-7526
Phone (617) 751-0444

National Provider Directory

National Provider Directory

Locations

27 Front St
Weymouth, MA 02188
Phone (781) 335-2596

NPI Registry JSON

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626134400000",
    "number": "1417529066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 WELCH RD",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024457526",
            "telephone_number": "617-751-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 FRONT ST",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021881604",
            "telephone_number": "781-337-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH CATHERINE REST HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-13",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A",
        "authorized_official_last_name": "SIDEEKA",
        "authorized_official_first_name": "IRSHAD",
        "authorized_official_title_or_position": "MANAGER/MEMBER",
        "authorized_official_telephone_number": "617-751-0444",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weymouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; 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.