NPIMap

Organization Active NPI

Carleton Willard Homes, Inc.

  • Rehabilitation Clinic/Center
  • Bedford, MA
National Provider Identifier
1639385073
Registry record updated Jul 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
4213 Issued in MA
Legal business name
CARLETON WILLARD HOMES, INC.
Practice address
100 Old Billerica Rd
Bedford, MA 01730-1267
Phone
(781) 275-8700
Fax
(781) 276-1988
NPI assigned
May 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2007

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

Authorized official

Name
Mrs. Barbara Ann Doyle
Title
Ceo
Phone
(781) 275-8700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X 4213 MA Primary

Addresses

Primary practice location

100 Old Billerica Rd
Bedford, MA 01730-1267

Mailing address

100 Old Billerica Rd
Bedford, MA 01730-1267
Phone (781) 275-8700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Outpatient physical therapy / speech pathology certification: CCN 226511

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
CARLTON-WILLARD VILLAGE OUTPATIENT
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Feb 22, 1984
Last certification
Feb 7, 2024
Ownership / control type
Voluntary Non-Profit Other Than Church
Facility address
100 Old Billerica Road
Bedford, MA 01730

National Provider Directory

National Provider Directory
Tax ID family
Carleton Willard Villag2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185753600000",
    "number": "1639385073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 OLD BILLERICA RD",
            "city": "BEDFORD",
            "state": "MA",
            "postal_code": "017301267",
            "telephone_number": "781-275-8700",
            "fax_number": "781-276-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 OLD BILLERICA RD",
            "city": "BEDFORD",
            "state": "MA",
            "postal_code": "017301267",
            "telephone_number": "781-275-8700",
            "fax_number": "781-276-1988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLETON WILLARD HOMES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2007-07-30",
        "status": "A",
        "authorized_official_last_name": "DOYLE",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "781-275-8700",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "MA",
            "license": "4213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, MA

Sources for this page

Verify at the official NPI Registry.