Videll Healthcare Park Place, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

VIDELL HEALTHCARE PARK PLACE, LLC

Practice address

113 Central Ave
Hyde Park, MA 02136-3021

Phone

(617) 361-2388

Fax

(617) 364-3112

NPI assigned

Oct 19, 2012

Organization subpart

No

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

Authorized official

Name

Stephen J Laforte

Title

Manager

Phone

(253) 277-3197

Specialties & licenses 1

Addresses

Other names 1

• Park Place Rehabilitation and Skilled Care Center Doing business as

Locations

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

{
    "created_epoch": "1350604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366070400000",
    "number": "1609129295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16400 SOUTHCENTER PKWY",
            "address_2": "SUITE 208",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981883335",
            "telephone_number": "253-277-3197",
            "fax_number": "206-299-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 CENTRAL AVE",
            "city": "HYDE PARK",
            "state": "MA",
            "postal_code": "021363021",
            "telephone_number": "617-361-2388",
            "fax_number": "617-364-3112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDELL HEALTHCARE PARK PLACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-19",
        "last_updated": "2013-04-16",
        "status": "A",
        "authorized_official_last_name": "LAFORTE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "253-277-3197"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Park Place Rehabilitation and Skilled Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ceasar Veal
• Janet Veal
• Royce Veal
• Irva M Veillard
• Queisy Marilee Ventura Bonilla
• Zahida Y Vides
• Anne Melyssa Vieux
• Marie Ronique Vilain, RN
• Ashley Viruez
• Biljana Vitanova Salemis, NP

• Skilled Nursing Facility in Hyde Park, MA
• Providers in Hyde Park, MA by specialty
• Skilled Nursing Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.