Active NPI
Alliance Health of Quincy, Inc.
- Skilled Nursing Facility
- Quincy, MA
National Provider Identifier
1467028274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- ALLIANCE HEALTH OF QUINCY, INC.
- Practice address
- 2 Seaport Dr
Quincy, MA 02171-1599 - Phone
- (617) 569-5100
- Fax
- (617) 472-8427
- NPI assigned
- Jun 2, 2021
- 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
- Paul Brian Kemp
- Title
- Chief Operating Officer
- Phone
- (774) 348-2001
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
2 Seaport Dr
Quincy, MA 02171-1599
Mailing address
2 Seaport Dr
Quincy, MA 02171-1599
Phone (617) 569-5100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110026579A | Medicaid | MA |
Other names 1
- Marina Bay
National Provider Directory
National Provider Directory- Tax ID family
- Alliance Health at Marina Bay
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Quincy, MA
- NPI 1376530089
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Geriatric Medicine (Internal Medicine) Physician
- Quincy, MA
- NPI 1538159579
-
- Geriatric Medicine (Internal Medicine) Physician
- Quincy, MA
- NPI 1811985633
-
- Internal Medicine Physician
- Pembroke, MA
- NPI 1043284789
-
- Emergency Medicine Physician
- Boston, MA
- NPI 1225142110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622592000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1622592000000",
"number": "1467028274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 SEAPORT DR",
"city": "QUINCY",
"state": "MA",
"postal_code": "021711599",
"telephone_number": "617-569-5100",
"fax_number": "617-472-8427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 SEAPORT DR",
"city": "QUINCY",
"state": "MA",
"postal_code": "021711599",
"telephone_number": "617-569-5100",
"fax_number": "617-472-8427"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLIANCE HEALTH OF QUINCY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-02",
"last_updated": "2021-06-02",
"certification_date": "2021-05-19",
"status": "A",
"authorized_official_last_name": "KEMP",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "BRIAN",
"authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
"authorized_official_telephone_number": "774-348-2001"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110026579A",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Marina Bay",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Quincy, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.