Epoch Senior Healthcare of Melrose, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0305 Issued in MA

Legal business name

EPOCH SENIOR HEALTHCARE OF MELROSE, LLC

Doing business as

EPOCH Senior Healthcare of Melrose

Practice address

15 Green St
Melrose, MA 02176-2811

Phone

(781) 665-3950

NPI assigned

Nov 9, 2007

Organization subpart

No

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

Authorized official

Name

Debora Pfaff

Title

Cfo

Phone

(781) 810-1240

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• EPOCH Senior Healthcare of Melrose Doing business as

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203465600000",
    "number": "1700066487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 SAWYER RD",
            "address_2": "SUITE 500",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024533448",
            "telephone_number": "781-810-1240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 GREEN ST",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021762811",
            "telephone_number": "781-665-3950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPOCH SENIOR HEALTHCARE OF MELROSE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-09",
        "last_updated": "2008-02-20",
        "status": "A",
        "authorized_official_last_name": "PFAFF",
        "authorized_official_first_name": "DEBORA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "781-810-1240"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "0305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0940453",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EPOCH Senior Healthcare of Melrose",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Melrose, MA
• Providers in Melrose, 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 Feb 20, 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.