Organization Active NPI

Hathaway Manor Nursing, LLC

  • Skilled Nursing Facility
  • New Bedford, MA
National Provider Identifier
1700909249
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0902 Issued in MA
Legal business name
HATHAWAY MANOR NURSING, LLC
Practice address
863 Hathaway Rd
New Bedford, MA 02740-1916
Phone
(508) 996-6763
Fax
(508) 996-8596
NPI assigned
Apr 9, 2007
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 0902 MA Primary

Addresses

Primary practice location

863 Hathaway Rd
New Bedford, MA 02740-1916

Mailing address

75 North St Ste 210
Pittsfield, MA 01201-5126

Other names 1

  • Hathaway 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": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672963200000",
    "number": "1700909249",
    "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": "863 HATHAWAY RD",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027401916",
            "telephone_number": "508-996-6763",
            "fax_number": "508-996-8596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HATHAWAY MANOR NURSING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "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": "0902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hathaway Manor Extended Care Facility",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hathaway Manor Extended Care Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Bedford, 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.