Organization Active NPI

Heritage at Danvers, LLC

  • Assisted Living Facility
  • Danvers, MA
National Provider Identifier
1770523664
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
N/A Issued in MA
Legal business name
HERITAGE AT DANVERS, LLC
Practice address
9 Summer St
Danvers, MA 01923-1558
Phone
(978) 774-5959
Fax
(978) 774-5454
NPI assigned
Jun 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Marcella Wilkinson
Title
Database Specialist
Phone
(610) 925-4045

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X N/A MA Primary

Addresses

Primary practice location

9 Summer St
Danvers, MA 01923-1558

Mailing address

101 E State St
Kennett Square, PA 19348-3109
Phone (610) 925-4436

Other names 1

  • Heritage at Danvers Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770523664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E STATE ST",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193483109",
            "telephone_number": "610-925-4436",
            "fax_number": "610-925-4351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 SUMMER ST",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019231558",
            "telephone_number": "978-774-5959",
            "fax_number": "978-774-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE AT DANVERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILKINSON",
        "authorized_official_first_name": "MARCELLA",
        "authorized_official_title_or_position": "DATABASE SPECIALIST",
        "authorized_official_telephone_number": "610-925-4045"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MA",
            "license": "N/A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage at Danvers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Danvers, MA

Sources for this page

  • 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.