St. Botolph Assisted Living Limited Partnership

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

1906127 Issued in MA

Legal business name

ST. BOTOLPH ASSISTED LIVING LIMITED PARTNERSHIP

Doing business as

Susan S. Bailis Assisted Living Community

Practice address

352 Massachusetts Ave
Boston, MA 02115-4950

Phone

(617) 247-1010

NPI assigned

Feb 13, 2007

Organization subpart

No

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

Authorized official

Name

Jeanne Fuller-Jones

Title

Executive Director

Phone

(617) 247-1010

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Susan S. Bailis Assisted Living Community Doing business as

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740322130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 MASSACHUSETTS AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021154950",
            "telephone_number": "617-247-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 MASSACHUSETTS AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021154950",
            "telephone_number": "617-247-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. BOTOLPH ASSISTED LIVING LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FULLER-JONES",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "617-247-1010"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MA",
            "license": "1906127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASS HEALTH",
            "identifier": "1906127",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Susan S. Bailis Assisted Living Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steven Lynn St Peter, MD
• Nadja St-Surin, FNP
• Othniel St-Ulme
• St. Anthony Shrine
• Lisa St. Arnaud
• David Joseph St. Germain III, CRNA
• Autumn Jean St. Hilaire, CNP
• Shelsea Annette St. Hillien
• Michaela Anne St. Jean, LABA
• Jessica Diane St. Laurent

• Assisted Living Facility in Boston, MA
• Providers in Boston, 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 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.