Active NPI
Wiston LLC
- Nursing Care Agency
- North Andover, MA
National Provider Identifier
1588412092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- Legal business name
- WISTON LLC
- Practice address
- 140 Prescott St
North Andover, MA 01845-1826 - Phone
- (978) 685-8085
- NPI assigned
- May 9, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Geoffrey Otema
- Title
- General Manager
- Phone
- (978) 728-2301
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | Primary |
Addresses
Primary practice location
140 Prescott St
North Andover, MA 01845-1826
Mailing address
9 Corcoran Rd
Billerica, MA 01821-1804
Phone (978) 728-2301
Other names 1
- Wiston
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Nurse
- Medford, MA
- NPI 1619723202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715212800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715212800000",
"number": "1588412092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 CORCORAN RD",
"city": "BILLERICA",
"state": "MA",
"postal_code": "018211804",
"telephone_number": "978-728-2301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 PRESCOTT ST",
"city": "NORTH ANDOVER",
"state": "MA",
"postal_code": "018451826",
"telephone_number": "978-685-8085"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WISTON LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-09",
"last_updated": "2024-05-09",
"certification_date": "2024-05-09",
"status": "A",
"authorized_official_last_name": "OTEMA",
"authorized_official_first_name": "GEOFFREY",
"authorized_official_title_or_position": "GENERAL MANAGER",
"authorized_official_telephone_number": "978-728-2301",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Wiston",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in North Andover, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.