Northeast Senior Health Corp

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

NORTHEAST SENIOR HEALTH CORP

Doing business as

Beverly Hospital Lifeline Program

Practice address

800 Cummings Ctr
Suite 266U
Beverly, MA 01915-6175

Phone

(978) 921-1697

Fax

(978) 921-1624

NPI assigned

Feb 21, 2007

Last updated

Aug 22, 2020By 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

Mrs. Diane Glendon

Title

Lifeline Program Manager

Phone

(978) 921-1697

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Beverly Hospital Lifeline Program Doing business as

Tax ID family

Spectrum Adult Day Health Center at North Andover2 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.

• Spectrum Adult Day Health Center at North Andover

  • Adult Day Care Clinic/Center
  • North Andover, MA
  • NPI 1245535301
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Spectrum Adult Day Health Center at North Andover

  • Adult Day Care Clinic/Center
  • North Andover, MA
  • NPI 1245535301
  NPPES parent name

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659416980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 CUMMINGS CTR",
            "address_2": "SUITE 266U",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156175",
            "telephone_number": "978-921-1697",
            "fax_number": "978-921-1624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 CUMMINGS CTR",
            "address_2": "SUITE 266U",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156175",
            "telephone_number": "978-921-1697",
            "fax_number": "978-921-1624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST SENIOR HEALTH CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GLENDON",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "LIFELINE PROGRAM MANAGER",
        "authorized_official_telephone_number": "978-921-1697",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1532316",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beverly Hospital Lifeline Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Northshore Mobility & Wellness Concierge Physical Therapy
• Francis Norton
• Whitney N Norton, MA
• Gilbert A Norwood, M.D.
• Nourish RX, LLC

• Durable Medical Equipment & Medical Supplies in Beverly, MA
• Providers in Beverly, MA by specialty
• Durable Medical Equipment & Medical Supplies in Massachusetts

• 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.