Winthrop Healthcare Investors D B a

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0565 Issued in MA

Legal business name

WINTHROP HEALTHCARE INVESTORS D B A

Doing business as

Governor Winthrop Nursing Center

Practice address

142 Pleasant St
Winthrop, MA 02152-2042

Phone

(617) 846-7750

Fax

(617) 846-2302

NPI assigned

Sep 13, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Dou Mittleider

Title

President Sec-Treasurer

Phone

(770) 870-2813

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Governor Winthrop Nursing Center Doing business as

Practitioners 2

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

• Diane L Carser, RN, PDH

  • Registered Nurse
  • West Springfield, MA
  • NPI 1598770216
  NPD (past)
• Maxim Lianski, MD

  • Psychiatry Physician
  • Medford, MA
  • NPI 1417997818
  NPD (past)

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669467973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 PLEASANT ST",
            "city": "WINTHROP",
            "state": "MA",
            "postal_code": "021522042",
            "telephone_number": "617-846-7750",
            "fax_number": "617-846-2302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 PLEASANT ST",
            "city": "WINTHROP",
            "state": "MA",
            "postal_code": "021522042",
            "telephone_number": "617-846-7750",
            "fax_number": "617-846-2302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINTHROP HEALTHCARE INVESTORS D B A",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MITTLEIDER",
        "authorized_official_first_name": "DOU",
        "authorized_official_title_or_position": "PRESIDENT SEC-TREASURER",
        "authorized_official_telephone_number": "770-870-2813",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "0565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0923605",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Governor Winthrop Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie West
• Gregory D Whall, LICSW
• Mary Whelan, CD(DONA)
• Eli Wickham
• Winthrop Eye Center, LLC
• Felicia Zani, MA

• Skilled Nursing Facility in Winthrop, MA
• Providers in Winthrop, 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 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.