Peregrine Senior Living of Tewksbury, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PEREGRINE SENIOR LIVING OF TEWKSBURY, LLC

Doing business as

Peregrine's Landing at Tewksbury

Practice address

1009 Main St # 2850
Tewksbury, MA 01876-4737

Phone

(985) 377-1622

NPI assigned

Jul 26, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Laurie Clark

Title

Director of Operations

Phone

(315) 476-5610

Specialties & licenses 1

Addresses

Other names 1

• Peregrine's Landing at Tewksbury Doing business as

Locations

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

{
    "created_epoch": "1406332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406332800000",
    "number": "1720496318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 MONTGOMERY ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132021937",
            "telephone_number": "315-476-5610",
            "fax_number": "315-475-8729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 MAIN ST # 2850",
            "city": "TEWKSBURY",
            "state": "MA",
            "postal_code": "018764737",
            "telephone_number": "985-377-1622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEREGRINE SENIOR LIVING OF TEWKSBURY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-26",
        "last_updated": "2014-07-26",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "315-476-5610",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peregrine's Landing at Tewksbury",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Tewksbury, MA
• Providers in Tewksbury, MA by specialty
• Assisted Living Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2014; 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.