NPIMap

Organization Active NPI

James Manor Rest Home

  • Custodial Care Facility
  • Fitchburg, MA
National Provider Identifier
1437288701
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Custodial Care FacilityTaxonomy code 311Z00000X
License
1350RESTHOME Issued in MA
Legal business name
JAMES MANOR REST HOME
Practice address
222 South St
Fitchburg, MA 01420
Phone
(978) 343-7400
Fax
(978) 343-7775
NPI assigned
Mar 5, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Donald Gerry Desmarais
Title
Adm Owner
Phone
(978) 343-7400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X 1350RESTHOME MA Primary

Addresses

Primary practice location

222 South St
Fitchburg, MA 01420

Mailing address

PO Box 2185
222 South St
Fitchburg, MA 01420
Phone (978) 343-7400

Other identifiers 1

IdentifierTypeStateIssuer
55508592OtherMAMASS PROVIDER

Other names 1

  • Jenmar Corporation Other name

National Provider Directory

National Provider Directory
Tax ID family
James Manor Rest Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

  • Jenmar Corp

    dba James Manor Rest Home

    • Nursing Facility/Intermediate Care Facility
    • Fitchburg, MA
    • NPI 1144219049
    NPD tax ID

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437288701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2185",
            "address_2": "222 SOUTH ST",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "01420",
            "telephone_number": "978-343-7400",
            "fax_number": "978-343-7775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 SOUTH ST",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "01420",
            "telephone_number": "978-343-7400",
            "fax_number": "978-343-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES MANOR REST HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DESMARAIS",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "GERRY",
        "authorized_official_title_or_position": "ADM OWNER",
        "authorized_official_telephone_number": "978-343-7400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "MA",
            "license": "1350RESTHOME",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASS PROVIDER",
            "identifier": "55508592",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jenmar Corporation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fitchburg, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.