Adventcare Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

ADVENTCARE INC

Doing business as

Fairhaven Healthcare Center

Practice address

476 Varnum Ave
Lowell, MA 01854-2122

Phone

(978) 458-3388

NPI assigned

Nov 20, 2007

Last updated

Nov 20, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Laura R. McDonnell

Title

Corporate Business Manager

Phone

(978) 420-1500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Fairhaven Healthcare Center Doing business as

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

CLIA laboratory certificates

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195516800000",
    "number": "1528249448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 AVCO RD",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018356936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "476 VARNUM AVE",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018542122",
            "telephone_number": "978-458-3388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVENTCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-20",
        "last_updated": "2007-11-20",
        "status": "A",
        "authorized_official_last_name": "MCDONNELL",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CORPORATE BUSINESS MANAGER",
        "authorized_official_telephone_number": "978-420-1500"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0940381",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairhaven Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Lowell, MA
• Providers in Lowell, MA by specialty
• Skilled Nursing Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; 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.