Quaside, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0144 Issued in MA

Legal business name

QUASIDE, INC

Practice address

47 E Main Street
West Brookfield, MA 01585-2906

Phone

(508) 867-7716

Fax

(508) 867-2074

NPI assigned

Sep 26, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Loren E Salvietti

Title

Administrator

Phone

(508) 867-7716

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• QUABOAG ON THE COMMON Doing business as

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302652800000",
    "number": "1720074669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 E MAIN STREET",
            "city": "WEST BROOKFIELD",
            "state": "MA",
            "postal_code": "015852906",
            "telephone_number": "508-867-7716",
            "fax_number": "508-867-2074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 E MAIN STREET",
            "city": "WEST BROOKFIELD",
            "state": "MA",
            "postal_code": "015852906",
            "telephone_number": "508-867-7716",
            "fax_number": "508-867-2074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUASIDE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-26",
        "last_updated": "2011-04-13",
        "status": "A",
        "authorized_official_last_name": "SALVIETTI",
        "authorized_official_first_name": "LOREN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "508-867-7716",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "0144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0921378",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "QUABOAG ON THE COMMON",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in West Brookfield, MA
• Providers in West Brookfield, MA by specialty
• Skilled Nursing Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; 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.