Active NPI
Hathaway Manor Nursing, LLC
- Skilled Nursing Facility
- New Bedford, MA
National Provider Identifier
1700909249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0902
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.