Organization Active NPI

HW3 Mt LLC

  • Assisted Living Facility
  • Gardner, MA
National Provider Identifier
1679864862
Registry record updated Apr 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
HW3 MT LLC
Practice address
50 Pine St
Gardner, MA 01440
Phone
(978) 632-8292
Fax
(978) 632-8280
NPI assigned
Apr 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2011

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

Authorized official

Name
Mr. Matthew E Wally
Title
President of HW3 Housing, Inc. Mana
Phone
(508) 799-0322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X MA Primary

Addresses

Primary practice location

50 Pine St
Gardner, MA 01440

Mailing address

11 Pleasant St
Worcester, MA 01609-3221
Phone (508) 799-0322

National Provider Directory

National Provider Directory

Locations

11 Pleasant St
Worcester, MA 01609

NPI Registry JSON

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

{
    "created_epoch": "1303430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303430400000",
    "number": "1679864862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 PLEASANT ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016093221",
            "telephone_number": "508-799-0322",
            "fax_number": "508-799-0322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 PINE ST",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "01440",
            "telephone_number": "978-632-8292",
            "fax_number": "978-632-8280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HW3 MT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-22",
        "last_updated": "2011-04-22",
        "status": "A",
        "authorized_official_last_name": "WALLY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT OF HW3 HOUSING, INC. MANA",
        "authorized_official_telephone_number": "508-799-0322",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardner, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.