Bayview of Boston Associates

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

1902075 Issued in MA

Legal business name

BAYVIEW OF BOSTON ASSOCIATES

Practice address

1380 Columbia Rd
South Boston, MA 02127-2934

Phone

(617) 268-5450

NPI assigned

Mar 22, 2007

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

Executive Director

Phone

(617) 268-5450

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1508982364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 COLUMBIA RD",
            "city": "SOUTH BOSTON",
            "state": "MA",
            "postal_code": "021272934",
            "telephone_number": "617-268-5450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 COLUMBIA RD",
            "city": "SOUTH BOSTON",
            "state": "MA",
            "postal_code": "021272934",
            "telephone_number": "617-268-5450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYVIEW OF BOSTON ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "CLELLAND",
        "authorized_official_first_name": "TADD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "617-268-5450"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MA",
            "license": "1902075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902075",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in South Boston, MA
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• Assisted Living Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.