Organization Active NPI

Duxbury House

  • Alzheimer Center (Dementia Center)
  • Duxbury, MA
National Provider Identifier
1487628798
Registry record updated Sep 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Alzheimer Center (Dementia Center)Taxonomy code 311500000X
License
0597 Issued in MA
Legal business name
DUXBURY HOUSE
Practice address
298 Kingstown Way
Duxbury, MA 02332
Phone
(781) 585-2397
Fax
(781) 582-2057
NPI assigned
Feb 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2008

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

Authorized official

Name
Mr. Paul T. Casole
Title
Vice President
Phone
(781) 878-6700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Alzheimer Center (Dementia Center) 311500000X 0597 MA Primary

Addresses

Primary practice location

298 Kingstown Way
Duxbury, MA 02332

Mailing address

52 Accord Park Drive
Norwell, MA 02061
Phone (781) 878-6700

Other identifiers 1

IdentifierTypeStateIssuer
0912905MedicaidMA

Other names 1

  • Thomas F. & Rita M. Welch Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2207192Duxbury House at the Village Memory Care Residence298 Kingstown Way, Duxbury, MA 02332Certificate of waiverDec 23, 2026

National Provider Directory

National Provider Directory

Locations

298 Kingstown Way
Duxbury, MA 02332
Phone (781) 585-2397

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220486400000",
    "number": "1487628798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 ACCORD PARK DRIVE",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "02061",
            "telephone_number": "781-878-6700",
            "fax_number": "781-878-9807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "298 KINGSTOWN WAY",
            "city": "DUXBURY",
            "state": "MA",
            "postal_code": "02332",
            "telephone_number": "781-585-2397",
            "fax_number": "781-582-2057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUXBURY HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-14",
        "last_updated": "2008-09-04",
        "status": "A",
        "authorized_official_last_name": "CASOLE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "781-878-6700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "MA",
            "license": "0597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0912905",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thomas F. & Rita M. Welch",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Duxbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.