Northeast Professional Registry of Nurses Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

NORTHEAST PROFESSIONAL REGISTRY OF NURSES INC

Practice address

600 Cummings Ctr Ste 270X
Beverly, MA 01915-6189

Phone

(978) 921-2615

NPI assigned

Aug 2, 2017

Last updated

Mar 17, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

NORTHEAST PROFESSIONAL REGISTRY OF NURSES, INC.As reported in NPPES

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

Authorized official

Name

Deborah Costello, RN

Title

Vice President Operations

Phone

(978) 712-1233

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lahey Health at Home Palliative Services Other name

Part of

Northeast Professional Registry of Nurses Inc

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1700300654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 CUMMINGS CTR STE 270X",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156189",
            "telephone_number": "978-921-2615",
            "fax_number": "978-921-1208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 CUMMINGS CTR STE 270X",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156189",
            "telephone_number": "978-921-2615"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 W Cummings Park Ste 5000",
            "address_purpose": "LOCATION",
            "city": "Woburn",
            "state": "MA",
            "postal_code": "018016356",
            "country_code": "US",
            "telephone_number": "781-756-2488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTHEAST PROFESSIONAL REGISTRY OF NURSES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHEAST PROFESSIONAL REGISTRY OF NURSES, INC.",
        "enumeration_date": "2017-08-02",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "COSTELLO",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "VICE PRESIDENT OPERATIONS",
        "authorized_official_telephone_number": "978-712-1233",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110074458A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lahey Health at Home Palliative Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Northeast Hospital Corporation
• Northeast Hospital Corporation
• Northeast Hospital Corporation
• Northeast Hospital Corportation
• Northeast Pho, Inc
• Northeast Senior Health Corp (Beverly Hospital Lifeline Program)
• Northshore Mobility & Wellness Concierge Physical Therapy
• Francis Norton
• Whitney N Norton, MA
• Gilbert A Norwood, M.D.

• Home Health Agency in Beverly, MA
• Providers in Beverly, MA by specialty
• Home Health Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.