Active NPI
Dalton Health Group LLC
Doing business as Craneville Place of DAlton
- Skilled Nursing Facility
- Dalton, MA
National Provider Identifier
1619964707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0003
- Legal business name
- DALTON HEALTH GROUP LLC
- Doing business as
- Craneville Place of DAlton
- Practice address
- 265 Main St
Dalton, MA 01226-1614 - Phone
- (413) 684-3212
- Fax
- (413) 684-2033
- NPI assigned
- Oct 4, 2005
- 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
- Ms. Laura McDonnell
- Title
- Corporate Business Office Manager
- Phone
- (978) 420-1500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 0003 | MA | Primary |
Addresses
Primary practice location
265 Main St
Dalton, MA 01226-1614
Mailing address
265 Main St
Dalton, MA 01226-1614
Phone (413) 684-3212
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0924466 | Medicaid | MA | |
| 00831778 | Medicaid | NY |
Other names 1
- Craneville Place of DAlton
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D0068133 | Craneville Place of Dalton | Certificate of waiver | Jun 24, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128384000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1270080000000",
"number": "1619964707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "265 MAIN ST",
"city": "DALTON",
"state": "MA",
"postal_code": "012261614",
"telephone_number": "413-684-3212",
"fax_number": "413-684-2033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "265 MAIN ST",
"city": "DALTON",
"state": "MA",
"postal_code": "012261614",
"telephone_number": "413-684-3212",
"fax_number": "413-684-2033"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DALTON HEALTH GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-04",
"last_updated": "2010-04-01",
"status": "A",
"authorized_official_last_name": "MCDONNELL",
"authorized_official_first_name": "LAURA",
"authorized_official_title_or_position": "CORPORATE BUSINESS OFFICE MANAGER",
"authorized_official_telephone_number": "978-420-1500",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MA",
"license": "0003",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0924466",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00831778",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Craneville Place of DAlton",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Dalton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.