Cornerstone at Canton Assisted Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CORNERSTONE AT CANTON ASSISTED LIVING LLC

Practice address

175 Revere Street
Canton, MA 02021

Phone

(617) 268-9140

Fax

(617) 268-1380

NPI assigned

May 28, 2014

Organization subpart

No

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

Authorized official

Name

Tadd Clelland

Title

Evp of Operations

Phone

(617) 268-9140

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1401235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401235200000",
    "number": "1447662234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "388 E 8TH ST",
            "address_2": "2ND FLOOR",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021272957",
            "telephone_number": "617-268-9140",
            "fax_number": "617-268-1380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 REVERE STREET",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "02021",
            "telephone_number": "617-268-9140",
            "fax_number": "617-268-1380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE AT CANTON ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-28",
        "last_updated": "2014-05-28",
        "status": "A",
        "authorized_official_last_name": "CLELLAND",
        "authorized_official_first_name": "TADD",
        "authorized_official_title_or_position": "EVP OF OPERATIONS",
        "authorized_official_telephone_number": "617-268-9140"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Canton, MA
• Providers in Canton, 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 May 28, 2014; 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.