Organization Active NPI

160 Main Street Operator LLC

Doing business as Walpole HealthCare

  • Skilled Nursing Facility
  • Walpole, MA
National Provider Identifier
1750807863
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
160 MAIN STREET OPERATOR LLC
Doing business as
Walpole HealthCare
Practice address
160 Main Street
Walpole, MA 02081
Phone
(508) 660-3080
NPI assigned
Aug 21, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
William H Stephan
Title
Cfo
Phone
(617) 943-7747

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X MA Primary

Addresses

Primary practice location

160 Main Street
Walpole, MA 02081

Mailing address

160 Main St
Walpole, MA 02081-4037
Phone (508) 660-3080

Other names 1

  • Walpole HealthCare Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2138794Walpole Healthcare160 Main St, Walpole, MA 02081Certificate of waiverOct 23, 2027

National Provider Directory

National Provider Directory

Locations

160 Main St
Walpole, MA 02081
Phone (508) 505-9513

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1503273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1750807863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 MAIN ST",
            "city": "WALPOLE",
            "state": "MA",
            "postal_code": "020814037",
            "telephone_number": "508-660-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 MAIN STREET",
            "city": "WALPOLE",
            "state": "MA",
            "postal_code": "02081",
            "telephone_number": "508-660-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "160 MAIN STREET OPERATOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "STEPHAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "617-943-7747"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walpole HealthCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Walpole, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.