NPIMap

Organization Active NPI

Cochituate Nursing Home Inc

  • Skilled Nursing Facility
  • Wayland, MA
National Provider Identifier
1669469920
Registry record updated Nov 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0383 Issued in MA
Legal business name
COCHITUATE NURSING HOME INC
Practice address
188 Commonwealth Rd
Wayland, MA 01778-5027
Phone
(508) 653-8500
NPI assigned
Oct 3, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2011

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

Authorized official

Name
Mr. Alan A Guidrey
Title
Administrator
Phone
(508) 983-8500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0383 MA Primary

Addresses

Primary practice location

188 Commonwealth Rd
Wayland, MA 01778-5027

Mailing address

188 Commonwealth Rd
Wayland, MA 01778-5027
Phone (508) 653-8500

Other identifiers 1

IdentifierTypeStateIssuer
0901377MedicaidMA

National Provider Directory

National Provider Directory
Tax ID family
Cochituate Nursing Home Inc2 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.

NPI Registry JSON

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320364800000",
    "number": "1669469920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 COMMONWEALTH RD",
            "city": "WAYLAND",
            "state": "MA",
            "postal_code": "017785027",
            "telephone_number": "508-653-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 COMMONWEALTH RD",
            "city": "WAYLAND",
            "state": "MA",
            "postal_code": "017785027",
            "telephone_number": "508-653-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COCHITUATE NURSING HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-03",
        "last_updated": "2011-11-04",
        "status": "A",
        "authorized_official_last_name": "GUIDREY",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "508-983-8500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "0383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0901377",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayland, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; 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.