Organization Active NPI

LCB Norton, LLC

  • Assisted Living Facility
  • Norton, MA
National Provider Identifier
1417540394
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
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

Updated by the provider on Feb 11, 2021

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)CodeLicenseStatePrimary
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 Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address LJACQUES@LCBSENIORLIVING.COM Direct

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2206785Residence at Great Woods, the190 Mansfield Ave, Norton, MA 02766Certificate of waiverDec 21, 2026

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.