Epoch of Brewster, LLC

Key facts

NPI

1629258306

Entity type

Organization (NPI type 2)

Primary specialty

Skilled Nursing Facility 314000000X

License

0837 (MA)

Legal business name

EPOCH OF BREWSTER, LLC

Practice address

873 Harwich Rd
Brewster, MA 02631-5232

Phone

(508) 896-7046

NPI assigned

Nov 9, 2007

Organization subpart

No

Authorized official

Name

Debora Pfaff

Title

Cfo

Phone

(781) 810-1240

National Provider Directory

Specialties & licenses

Addresses

Other identifiers

Other names

• EPOCH Senior Healthcare of Brewster Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 20, 2008.

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203465600000",
    "number": "1629258306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 SAWYER RD STE 500",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024533461",
            "telephone_number": "781-810-1240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "873 HARWICH RD",
            "city": "BREWSTER",
            "state": "MA",
            "postal_code": "026315232",
            "telephone_number": "508-896-7046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPOCH OF BREWSTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-09",
        "last_updated": "2008-02-20",
        "status": "A",
        "authorized_official_last_name": "PFAFF",
        "authorized_official_first_name": "DEBORA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "781-810-1240"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "0837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0940411",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EPOCH Senior Healthcare of Brewster",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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All providers in Brewster, MA · Skilled Nursing Facility in Massachusetts