American Masters Village

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

AMERICAN MASTERS VILLAGE

Doing business as

Grayson House Assisted Living

Practice address

942 Grayson Dr
Springfield, MA 01119-1547

Phone

(413) 426-9868

Fax

(413) 426-9651

NPI assigned

Apr 11, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Deanna Lynn Lawrence, M.P.H.

Title

Executive Director

Phone

(413) 426-9868

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Grayson House Assisted Living Doing business as

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609099134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "942 GRAYSON DR",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011191547",
            "telephone_number": "413-426-9868",
            "fax_number": "413-426-9651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "942 GRAYSON DR",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011191547",
            "telephone_number": "413-426-9868",
            "fax_number": "413-426-9651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN MASTERS VILLAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "413-426-9868",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.P.H."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1906348",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grayson House Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Springfield, MA
• Providers in Springfield, 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 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.