Old Colony Road Rest Home, Inc.

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

OLD COLONY ROAD REST HOME, INC.

Practice address

377 Old Colony Rd
Norton, MA 02766-2043

Phone

(508) 222-1074

Fax

(508) 431-8200

NPI assigned

Oct 3, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Robert J, Devlin

Title

Administrator

Phone

(508) 222-1074

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467449702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "377 OLD COLONY RD",
            "city": "NORTON",
            "state": "MA",
            "postal_code": "027662043",
            "telephone_number": "508-222-1074",
            "fax_number": "508-431-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 OLD COLONY RD",
            "city": "NORTON",
            "state": "MA",
            "postal_code": "027662043",
            "telephone_number": "508-222-1074",
            "fax_number": "508-431-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD COLONY ROAD REST HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEVLIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J,",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "508-222-1074",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Norton, MA
• Adult Care Home Facility in Massachusetts

• 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.