NPIMap

Organization Active NPI

Dartmouth Assisted Living, LLC

Doing business as Heritage at Dartmouth

  • Assisted Living Facility
  • North Dartmouth, MA
National Provider Identifier
1629025986
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
N/A Issued in MA
Legal business name
DARTMOUTH ASSISTED LIVING, LLC
Doing business as
Heritage at Dartmouth
Practice address
239 Cross Rd
North Dartmouth, MA 02747-1992
Phone
(508) 992-8880
Fax
(508) 992-8884
NPI assigned
May 30, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Marcella Wilkinson
Title
Corporate Director
Phone
(610) 925-4045

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X N/A MA Primary

Addresses

Primary practice location

239 Cross Rd
North Dartmouth, MA 02747-1992

Mailing address

101 E State St
Kennett Square, PA 19348-3109
Phone (610) 925-4436

Other identifiers 1

IdentifierTypeStateIssuer
1905112MedicaidMA

Other names 1

  • Heritage at Dartmouth Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629025986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E STATE ST",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193483109",
            "telephone_number": "610-925-4436",
            "fax_number": "610-925-4351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 CROSS RD",
            "city": "NORTH DARTMOUTH",
            "state": "MA",
            "postal_code": "027471992",
            "telephone_number": "508-992-8880",
            "fax_number": "508-992-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARTMOUTH ASSISTED LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILKINSON",
        "authorized_official_first_name": "MARCELLA",
        "authorized_official_title_or_position": "CORPORATE DIRECTOR",
        "authorized_official_telephone_number": "610-925-4045"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MA",
            "license": "N/A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1905112",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage at Dartmouth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Dartmouth, MA

Sources for this page

  • 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.