Lawrence Manor LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1887 Issued in MA

Legal business name

LAWRENCE MANOR LLC

Doing business as

Lawrence Manor Nursing Home

Practice address

26 Henry Ave
Lynn, MA 01902-4008

Phone

(781) 595-5553

Fax

(781) 596-3636

NPI assigned

Sep 30, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Terrence M O'Connell

Title

Owner Administrator

Phone

(781) 595-5553

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lawrence Manor Nursing Home Doing business as

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210291200000",
    "number": "1679560098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 HENRY AVE",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019024008",
            "telephone_number": "781-595-5553",
            "fax_number": "781-596-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 HENRY AVE",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019024008",
            "telephone_number": "781-595-5553",
            "fax_number": "781-596-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE MANOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-30",
        "last_updated": "2008-05-09",
        "status": "A",
        "authorized_official_last_name": "O'CONNELL",
        "authorized_official_first_name": "TERRENCE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER ADMINISTRATOR",
        "authorized_official_telephone_number": "781-595-5553",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "1887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0926116",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lawrence Manor Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joan Claire Latauskas, RN, MSN
• Maisha Latimer-Sport, B.A.
• Tara Anne Laundry
• James Lavelle, LICSW
• Kaitlyn Mary Lawless
• Sarrie Angela Lawrence
• Alexander Richard Lawson
• Louis Laz, MD
• Christopher Lazcano Lazcano Villagran
• Linh Le, PHARMD

• Skilled Nursing Facility in Lynn, MA
• Providers in Lynn, 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 May 9, 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.