WG Marland Place SH, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

NONE ISSUED Issued in MA

Legal business name

WG MARLAND PLACE SH, LLC

Practice address

15 Stevens St
Andover, MA 01810-3599

Phone

(978) 475-4225

Fax

(978) 475-5818

NPI assigned

Jun 20, 2013

Organization subpart

No

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

Authorized official

Name

W. Bryan Hudson

Title

Authorized Representative

Phone

(502) 779-4700

Specialties & licenses 1

Addresses

Other names 1

• Atria Marland Place Doing business as

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

{
    "created_epoch": "1371686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371686400000",
    "number": "1558700765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S 4TH ST",
            "address_2": "SUITE 1900, ATTN: LEGAL DEPT.",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402023426",
            "telephone_number": "502-779-4700",
            "fax_number": "502-779-4749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 STEVENS ST",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018103599",
            "telephone_number": "978-475-4225",
            "fax_number": "978-475-5818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WG MARLAND PLACE SH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-20",
        "last_updated": "2013-06-20",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "W.",
        "authorized_official_middle_name": "BRYAN",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "502-779-4700"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MA",
            "license": "NONE ISSUED",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atria Marland Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachel Leigh Weldon, MS, LMHC
• Brittany Welkes, LICSW
• Wellness Way Psychological Services
• Vanessa R Wells, LMHC
• Jaime Westaway
• Natalie Wheeler
• Douglas E White, MSPT, L/ATC, CSCS
• Katharine A White, ATC
• Amy Wiggins, ATC
• Stacy Marie Wilkins, BS, CLS

• Assisted Living Facility in Andover, MA
• Providers in Andover, MA by specialty
• Assisted Living Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2013; 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.