St. Julie Billiart Residential Care Center
Organization Active NPI Nursing Facility/Intermediate Care Facility · Ipswich, MA
NPI 1497824544 · NPPES record last updated Jun 26, 2008
Key facts
- NPI
- 1497824544
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nursing Facility/Intermediate Care Facility 313M00000X
- License
- 1B9G (MA)
- Legal business name
- ST. JULIE BILLIART RESIDENTIAL CARE CENTER
- Practice address
- 30 Jeffreys Neck Rd
Ipswich, MA 01938-1308 - Phone
- (978) 356-4381
- Fax
- (978) 356-1380
- NPI assigned
- Nov 6, 2006
- Organization subpart
- No
Authorized official
- Name
- Ms. Eileen Burns, SISTER OF NOTRE DAME
- Title
- President
- Phone
- (978) 380-1372
Practitioners 4
-
Jaime Bernard, PT
-
Clifford Angco Gaviola, P.T.
-
Nelson Ho, OTR/L
-
Rita V Kelleher, OTR/L
National Provider Directory
Locations
30 Jeffreys Neck Rd
Ipswich, MA 01938
Phone (978) 356-4381
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | 1B9G | MA | Yes |
Addresses
Primary practice location
30 Jeffreys Neck Rd
Ipswich, MA 01938-1308
Mailing address
30 Jeffreys Neck Rd
Ipswich, MA 01938-1308
Phone (978) 356-4381
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5508878 | Medicaid | MA |
Other providers in Ipswich, MA
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- Marissa Ann Speranza
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- Jodi Ann Stevens
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- Carrie L Stoner
- Jan Pieter Struyde
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All providers in Ipswich, MA · Nursing Facility/Intermediate Care Facility in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.