Organization Active NPI

Lori Landry Applewood Inc

  • Custodial Care Facility
  • Athol, MA
National Provider Identifier
1447376439
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Custodial Care FacilityTaxonomy code 311Z00000X
License
1427 Issued in MA
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

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
Lori Landry
Title
Administrator
Phone
(978) 249-5110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
5508088OtherMAPROVIDER NUMBER

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.