NPIMap

Organization Active NPI

Bourne Manor Nursing, LLC

Doing business as Bourne Manor Extended Care Facility

  • Skilled Nursing Facility
  • Bourne, MA
National Provider Identifier
1699910752
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0903 Issued in MA
Legal business name
BOURNE MANOR NURSING, LLC
Doing business as
Bourne Manor Extended Care Facility
Practice address
146 Macarthur Blvd
Bourne, MA 02532-3902
Phone
(508) 759-8880
NPI assigned
Dec 3, 2008
Last updated
Jan 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2023

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

Authorized official

Name
William C Jones
Title
President
Phone
(413) 447-2996

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0903 MA Primary

Addresses

Primary practice location

146 Macarthur Blvd
Bourne, MA 02532-3902

Mailing address

75 North St Ste 210
Pittsfield, MA 01201-5126

Other names 1

  • Bourne Manor Extended Care Facility Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1228262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672963200000",
    "number": "1699910752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 NORTH ST STE 210",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012015126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 MACARTHUR BLVD",
            "city": "BOURNE",
            "state": "MA",
            "postal_code": "025323902",
            "telephone_number": "508-759-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOURNE MANOR NURSING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-03",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "413-447-2996"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "0903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bourne Manor Extended Care Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bourne, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; 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.