Larchwood Lodge Nursing Home

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0214 Issued in MA

Legal business name

LARCHWOOD LODGE NURSING HOME

Practice address

325 Bacon St
325 Bacon Street
Waltham, MA 02451-7519

Phone

(781) 894-5264

Fax

(781) 894-6011

NPI assigned

Mar 5, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Jan Galatis

Title

Owner

Phone

(781) 894-5264

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609905512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 HILLSIDE AVE",
            "address_2": "96 HILLSIDE AVE",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024941710",
            "telephone_number": "781-894-5264",
            "fax_number": "781-894-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 BACON ST",
            "address_2": "325 BACON STREET",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024517519",
            "telephone_number": "781-894-5264",
            "fax_number": "781-894-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARCHWOOD LODGE NURSING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GALATIS",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-894-5264",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "0214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0921947",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leslie Lamb, LICSW
• Phyllis Landman, O.D.
• Janine K Lane, B.C.B.A
• Benjamin Lanowy, DPT
• Lyndie Laramore, LMHC
• Sarah Catherine Larocque, R.D.
• Eli Latto, LICSW
• Alice Lau
• Emily Laubscher
• Cristin M Lavita

• Skilled Nursing Facility in Waltham, MA
• Providers in Waltham, 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 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.