Active NPI
LCB Norton, LLC
- Assisted Living Facility
- Norton, MA
National Provider Identifier
1417540394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- LCB NORTON, LLC
- Practice address
- 190 Mansfield Ave
Norton, MA 02766-1349 - Phone
- (508) 285-3355
- NPI assigned
- Feb 11, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Leo Jacques
- Title
- Controller
- Phone
- (781) 619-9327
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
190 Mansfield Ave
Norton, MA 02766-1349
Mailing address
190 Mansfield Ave
Norton, MA 02766-1349
Phone (508) 285-3355
Other names 1
- The Residence at Great Woods
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | LJACQUES@LCBSENIORLIVING.COM | Direct |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D2206785 | Residence at Great Woods, the | Certificate of waiver | Dec 21, 2026 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613001600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1613001600000",
"number": "1417540394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "190 MANSFIELD AVE",
"city": "NORTON",
"state": "MA",
"postal_code": "027661349",
"telephone_number": "508-285-3355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "190 MANSFIELD AVE",
"city": "NORTON",
"state": "MA",
"postal_code": "027661349",
"telephone_number": "508-285-3355"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LCB NORTON, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-11",
"last_updated": "2021-02-11",
"certification_date": "2021-02-11",
"status": "A",
"authorized_official_last_name": "JACQUES",
"authorized_official_first_name": "LEO",
"authorized_official_title_or_position": "CONTROLLER",
"authorized_official_telephone_number": "781-619-9327",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "LJACQUES@LCBSENIORLIVING.COM",
"affiliation": "N",
"endpointDescription": "EMAIL",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "190 Mansfield Ave",
"city": "Norton",
"state": "MA",
"country_code": "US",
"postal_code": "027661349",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "The Residence at Great Woods",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Norton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.