Parkwell Healthcare LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0516 Issued in MA

Legal business name

PARKWELL HEALTHCARE LLC

Doing business as

Parkwell

Practice address

745 Truman Hwy
Hyde Park, MA 02136-3536

Phone

(617) 361-8300

Fax

(617) 361-7725

NPI assigned

Jun 3, 2006

Last updated

Jan 14, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Paula J. Topjian

Title

Manager

Phone

(617) 361-8300

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Parkwell Doing business as

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452729600000",
    "number": "1639117310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 TRUMAN HWY",
            "city": "HYDE PARK",
            "state": "MA",
            "postal_code": "021363536",
            "telephone_number": "617-361-8300",
            "fax_number": "617-361-7725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 TRUMAN HWY",
            "city": "HYDE PARK",
            "state": "MA",
            "postal_code": "021363536",
            "telephone_number": "617-361-8300",
            "fax_number": "617-361-7725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKWELL HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2016-01-14",
        "status": "A",
        "authorized_official_last_name": "TOPJIAN",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "617-361-8300"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "0516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110026654B",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0940534",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkwell",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Marie Auxiliatrice Paul
• Patrick Evans Paul
• Gerda Paulissaint
• Shelley Yvette Perch-Ward

• Skilled Nursing Facility in Hyde Park, MA
• Providers in Hyde Park, 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 Jan 14, 2016; 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.