NPIMap

Organization Active NPI

Pocasset Assisted Living Limited

  • Assisted Living Facility
  • Pocasset, MA
National Provider Identifier
1639295488
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
1902491 Issued in MA
Legal business name
POCASSET ASSISTED LIVING LIMITED
Practice address
100 Dr Julius Kelley LN
Pocasset, MA 02559-2134
Phone
(508) 564-4474
NPI assigned
Mar 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Michael G Lebrun
Title
Executive Director
Phone
(508) 564-4474

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 1902491 MA Primary

Addresses

Primary practice location

100 Dr Julius Kelley LN
Pocasset, MA 02559-2134

Mailing address

100 Dr Julius Kelley LN
Pocasset, MA 02559-2134
Phone (508) 564-4474

Other identifiers 1

IdentifierTypeStateIssuer
1902491MedicaidMA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1639295488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 DR JULIUS KELLEY LN",
            "city": "POCASSET",
            "state": "MA",
            "postal_code": "025592134",
            "telephone_number": "508-564-4474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DR JULIUS KELLEY LN",
            "city": "POCASSET",
            "state": "MA",
            "postal_code": "025592134",
            "telephone_number": "508-564-4474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POCASSET ASSISTED LIVING LIMITED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "LEBRUN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "508-564-4474"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MA",
            "license": "1902491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902491",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocasset, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.