Oak Ledge Terrace Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

310400000X Issued in MA

Legal business name

OAK LEDGE TERRACE INC.

Practice address

29 Federal St
Blackstone, MA 01504-1327

Phone

(508) 883-4883

Fax

(508) 883-1134

NPI assigned

Mar 9, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Henry Merlin Blakeney

Title

Executive Director

Phone

(508) 883-4883

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268092800000",
    "number": "1578886347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 FEDERAL ST",
            "city": "BLACKSTONE",
            "state": "MA",
            "postal_code": "015041327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 FEDERAL ST",
            "city": "BLACKSTONE",
            "state": "MA",
            "postal_code": "015041327",
            "telephone_number": "508-883-4883",
            "fax_number": "508-883-1134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK LEDGE TERRACE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-09",
        "last_updated": "2010-03-09",
        "status": "A",
        "authorized_official_last_name": "BLAKENEY",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "MERLIN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "508-883-4883",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MA",
            "license": "310400000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith Robert Mathieu, PHARMD
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• Assisted Living Facility in Blackstone, MA
• Providers in Blackstone, 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 Mar 9, 2010; 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.