NPIMap

Organization Active NPI

Epoch on Blackstone Boulevard, LLC

  • Skilled Nursing Facility
  • Providence, RI
National Provider Identifier
1720268402
Registry record updated Mar 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
LTC00724 Issued in RI
Legal business name
EPOCH ON BLACKSTONE BOULEVARD, LLC
Doing business as
EPOCH Senior Healthcare on Blackstone Boulevard
Practice address
353 Blackstone Blvd
Providence, RI 02906-4936
Phone
(401) 273-6565
NPI assigned
Nov 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2008

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

Authorized official

Name
Debora Pfaff
Title
Cfo
Phone
(781) 810-1240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X LTC00724 RI Primary

Addresses

Primary practice location

353 Blackstone Blvd
Providence, RI 02906-4936

Mailing address

51 Sawyer Rd
Suite 500
Waltham, MA 02453-3448
Phone (781) 810-1240

Other names 1

  • EPOCH Senior Healthcare on Blackstone Boulevard Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Epoch on Blackstone Boulevard LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

51 Sawyer Rd
Ste 500
Waltham, MA 02453
Phone (781) 810-1230

NPI Registry JSON

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205712000000",
    "number": "1720268402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 SAWYER RD",
            "address_2": "SUITE 500",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024533448",
            "telephone_number": "781-810-1240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 BLACKSTONE BLVD",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029064936",
            "telephone_number": "401-273-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPOCH ON BLACKSTONE BOULEVARD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-09",
        "last_updated": "2008-03-17",
        "status": "A",
        "authorized_official_last_name": "PFAFF",
        "authorized_official_first_name": "DEBORA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "781-810-1240"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "RI",
            "license": "LTC00724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EPOCH Senior Healthcare on Blackstone Boulevard",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; 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.