NPIMap

Organization Active NPI

Redwood Acquisition West LLC

  • Skilled Nursing Facility
  • Fitchburg, MA
National Provider Identifier
1760932925
Registry record updated Oct 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
REDWOOD ACQUISITION WEST LLC
Doing business as
Fitchburg Rehabilitation and Care Center
Practice address
1199 John Fitch Hwy
Fitchburg, MA 01420-2026
Phone
(978) 345-0146
NPI assigned
Oct 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2016

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

Authorized official

Name
James Mamary Sr.
Title
President
Phone
(781) 826-2393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1199 John Fitch Hwy
Fitchburg, MA 01420-2026

Mailing address

1199 John Fitch Hwy
Fitchburg, MA 01420-2026

Other names 1

  • Fitchburg Rehabilitation and Care Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dexter House Rehabilitation and Care Center6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1476144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476144000000",
    "number": "1760932925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1199 JOHN FITCH HWY",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014202026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1199 JOHN FITCH HWY",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014202026",
            "telephone_number": "978-345-0146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDWOOD ACQUISITION WEST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-11",
        "last_updated": "2016-10-11",
        "status": "A",
        "authorized_official_last_name": "MAMARY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-826-2393",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fitchburg Rehabilitation and Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fitchburg, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; 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.