Parker Senior Care, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PARKER SENIOR CARE, LLC

Doing business as

The Reserve at East Longmeadow

Practice address

741 Parker St
East Longmeadow, MA 01028-1488

Phone

(413) 224-2200

Fax

(413) 224-7122

NPI assigned

Oct 25, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Henry James Vaughn

Title

Reimbursement Analyst

Phone

(240) 595-6025

Specialties & licenses 2

Addresses

Other names 1

• The Reserve at East Longmeadow Doing business as

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

{
    "created_epoch": "1603584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603584000000",
    "number": "1427657980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 PARKER ST",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010281488",
            "telephone_number": "413-224-2200",
            "fax_number": "413-224-7122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 PARKER ST",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010281488",
            "telephone_number": "413-224-2200",
            "fax_number": "413-224-7122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKER SENIOR CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-25",
        "last_updated": "2020-10-25",
        "certification_date": "2020-10-25",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "REIMBURSEMENT ANALYST",
        "authorized_official_telephone_number": "240-595-6025",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Reserve at East Longmeadow",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in East Longmeadow, MA
• Providers in East Longmeadow, MA by specialty
• Assisted Living Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2020; 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.