Organization Active NPI

Lutheran Social Services of New England

  • Assisted Living Facility
  • Brockton, MA
National Provider Identifier
1720201296
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
LUTHERAN SOCIAL SERVICES OF NEW ENGLAND
Practice address
25 E Nilsson St
Brockton, MA 02301-6604
Phone
(508) 588-5334
Fax
(508) 588-8775
NPI assigned
Apr 11, 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
Edith M Lohr
Title
President
Phone
(781) 997-0800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

25 E Nilsson St
Brockton, MA 02301-6604

Mailing address

888 Worcester St
Suite 160
Wellesley, MA 02482-3717
Phone (781) 997-0800

Other identifiers 1

IdentifierTypeStateIssuer
1901931MedicaidMA

National Provider Directory

National Provider Directory
Tax ID family
Ascentria Care Alliance Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

888 Worcester St
Ste 160
Wellesley, MA 02482

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720201296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 WORCESTER ST",
            "address_2": "SUITE 160",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024823717",
            "telephone_number": "781-997-0800",
            "fax_number": "781-997-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 E NILSSON ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023016604",
            "telephone_number": "508-588-5334",
            "fax_number": "508-588-8775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTHERAN SOCIAL SERVICES OF NEW ENGLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOHR",
        "authorized_official_first_name": "EDITH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-997-0800"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1901931",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, 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.