Active NPI
Lutheran Social Services of New England
- Assisted Living Facility
- Brockton, MA
National Provider Identifier
1720201296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1901931 | Medicaid | MA |
National Provider Directory
National Provider Directory- Tax ID family
- Ascentria Care Alliance Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- West Brookfield, MA
- NPI 1740678028
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.