Organization Active NPI

Dalton Health Group LLC

Doing business as Craneville Place of DAlton

  • Skilled Nursing Facility
  • Dalton, MA
National Provider Identifier
1619964707
Registry record updated Apr 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0003 Issued in MA
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

Updated by the provider on Apr 1, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0924466MedicaidMA
00831778MedicaidNY

Other names 1

  • Craneville Place of DAlton Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D0068133Craneville Place of Dalton265 Main St, Dalton, MA 01226Certificate of waiverJun 24, 2027

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.