Active NPI
Lori Landry Applewood Inc
- Custodial Care Facility
- Athol, MA
National Provider Identifier
1447376439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Custodial Care Facility
- License
- 1427
- Legal business name
- LORI LANDRY APPLEWOOD INC
- Practice address
- 171 S Royalston Rd
Athol, MA 01331-9707 - Phone
- (978) 249-5110
- NPI assigned
- Mar 21, 2007
- 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
- Lori Landry
- Title
- Administrator
- Phone
- (978) 249-5110
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Custodial Care Facility | 311Z00000X | 1427 | MA | Primary |
Addresses
Primary practice location
171 S Royalston Rd
Athol, MA 01331-9707
Mailing address
171 S Royalston Rd
Athol, MA 01331-9707
Phone (978) 249-5110
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5508088 | Other | MA | PROVIDER NUMBER |
National Provider Directory
National Provider DirectoryLocations
171 S Royalston Rd
Athol, MA 01331
Phone (908) 812-9514
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1447376439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "171 S ROYALSTON RD",
"city": "ATHOL",
"state": "MA",
"postal_code": "013319707",
"telephone_number": "978-249-5110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "171 S ROYALSTON RD",
"city": "ATHOL",
"state": "MA",
"postal_code": "013319707",
"telephone_number": "978-249-5110"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LORI LANDRY APPLEWOOD INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-21",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LANDRY",
"authorized_official_first_name": "LORI",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "978-249-5110"
},
"taxonomies": [
{
"code": "311Z00000X",
"taxonomy_group": "",
"desc": "Custodial Care Facility",
"state": "MA",
"license": "1427",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER NUMBER",
"identifier": "5508088",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Athol, 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.