NPIMap

Organization Active NPI

Videll Healthcare Craneville, LLC

  • Skilled Nursing Facility
  • Dalton, MA
National Provider Identifier
1699028282
Registry record updated Oct 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
VIDELL HEALTHCARE CRANEVILLE, LLC
Practice address
265 Main St
Dalton, MA 01226-1614
Phone
(413) 684-3212
Fax
(413) 684-2033
NPI assigned
Oct 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2012

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

Authorized official

Name
Stephen J Laforte
Title
Manager
Phone
(253) 277-3197

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

265 Main St
Dalton, MA 01226-1614

Mailing address

16400 Southcenter Pkwy
Suite 208
Tukwila, WA 98188-3335
Phone (253) 277-3197

Other names 1

  • Craneville Place Rehabilitation and Skilled Care Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Craneville Place Rehabilitation and Skil2 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": "1350604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350604800000",
    "number": "1699028282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16400 SOUTHCENTER PKWY",
            "address_2": "SUITE 208",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981883335",
            "telephone_number": "253-277-3197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 MAIN ST",
            "city": "DALTON",
            "state": "MA",
            "postal_code": "012261614",
            "telephone_number": "413-684-3212",
            "fax_number": "413-684-2033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDELL HEALTHCARE CRANEVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-19",
        "last_updated": "2012-10-19",
        "status": "A",
        "authorized_official_last_name": "LAFORTE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "253-277-3197"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Craneville Place Rehabilitation and Skilled Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dalton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; 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.