Saint Joseph's Abbey Resident Care Facility

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

812 Issued in MA

Legal business name

SAINT JOSEPH'S ABBEY RESIDENT CARE FACILITY

Practice address

167 N Spencer Rd
Spencer, MA 01562-1232

Phone

(508) 885-8702

NPI assigned

Sep 19, 2005

Last updated

Aug 22, 2020By 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

Gregory Sampl

Title

Administrator

Phone

(508) 885-8700

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Saint Joseph's Abbey Resident Care Facility2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• St. Joseph's Abbey Resident Care Facility, Inc.

  • Physical Disabilities Residential Treatment Facility
  • Spencer, MA
  • NPI 1124160619
  NPD tax ID

Locations

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548255375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 N SPENCER RD",
            "city": "SPENCER",
            "state": "MA",
            "postal_code": "015621232",
            "telephone_number": "508-885-8702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 N SPENCER RD",
            "city": "SPENCER",
            "state": "MA",
            "postal_code": "015621232",
            "telephone_number": "508-885-8702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT JOSEPH'S ABBEY RESIDENT CARE FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAMPL",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "508-885-8700"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MA",
            "license": "812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5508711",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharmin Porcaro
• Premise Health of Massachusetts Medical PC (FLEXcon - Spencer)
• John Allen Quevillon, PT
• Katie Ricciardi, MSW, LCSW
• Pamelym Frankielle Rodrigues de Oliveira
• Scensob LLC (SCENSOB Home Care)
• Peter J Schwartz, D.C.
• Melody Serrano-Rodriguez
• Scott M Smith, MA, LMHC
• Dianne Snow

• Adult Care Home Facility in Spencer, MA
• Providers in Spencer, MA by specialty
• 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.