Organization Active NPI

Lynn Shore Rest Home NP, Inc.

Doing business as Lynn Shore Rest Home

  • Adult Care Home Facility
  • Lynn, MA
National Provider Identifier
1720225154
Registry record updated Jan 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
1287 Issued in MA
Legal business name
LYNN SHORE REST HOME NP, INC.
Doing business as
Lynn Shore Rest Home
Practice address
37 Breed St
Lynn, MA 01902-3101
Phone
(781) 595-7110
NPI assigned
Jan 7, 2009
Last updated
Jan 7, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2009

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

Authorized official

Name
Mr. David J. Solimine Jr.
Title
President
Phone
(781) 599-8238

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 1287 MA Primary

Addresses

Primary practice location

37 Breed St
Lynn, MA 01902-3101

Mailing address

37 Breed St
Lynn, MA 01902-3101
Phone (781) 595-7110

Other names 1

  • Lynn Shore Rest Home Doing business as

National Provider Directory

National Provider Directory

Locations

37 Breed St
Lynn, MA 01902
Phone (781) 595-7110

NPI Registry JSON

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

{
    "created_epoch": "1231286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231286400000",
    "number": "1720225154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 BREED ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019023101",
            "telephone_number": "781-595-7110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 BREED ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019023101",
            "telephone_number": "781-595-7110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNN SHORE REST HOME NP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-07",
        "last_updated": "2009-01-07",
        "status": "A",
        "authorized_official_last_name": "SOLIMINE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-599-8238",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MA",
            "license": "1287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lynn Shore Rest Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lynn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2009; 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.