Active NPI
Orleans Convalescent Home, Inc.
- Nursing Facility/Intermediate Care Facility
- Orleans, MA
National Provider Identifier
1710108709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- License
- 0704
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0998796 | Other | MA | VPN |
National Provider Directory
National Provider DirectoryNPI 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.