Organization Active NPI

Orleans Convalescent Home, Inc.

  • Nursing Facility/Intermediate Care Facility
  • Orleans, MA
National Provider Identifier
1710108709
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
0704 Issued in MA
Legal business name
ORLEANS CONVALESCENT HOME, INC.
Practice address
60 Daleys Ter
Orleans, MA 02653-3318
Phone
(508) 255-2328
NPI assigned
May 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mark S Doyle, L.N.H.A.
Title
Administrator
Phone
(508) 255-2328

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 0704 MA Primary

Addresses

Primary practice location

60 Daleys Ter
Orleans, MA 02653-3318

Mailing address

60 Daleys Ter
Orleans, MA 02653-3318
Phone (508) 255-2328

Other identifiers 1

IdentifierTypeStateIssuer
0998796OtherMAVPN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710108709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 DALEYS TER",
            "city": "ORLEANS",
            "state": "MA",
            "postal_code": "026533318",
            "telephone_number": "508-255-2328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 DALEYS TER",
            "city": "ORLEANS",
            "state": "MA",
            "postal_code": "026533318",
            "telephone_number": "508-255-2328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORLEANS CONVALESCENT HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOYLE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "508-255-2328",
        "authorized_official_credential": "L.N.H.A."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "MA",
            "license": "0704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VPN",
            "identifier": "0998796",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orleans, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.