NPIMap

Organization Active NPI

Webster Light LLC

  • Adult Care Home Facility
  • Worcester, MA
National Provider Identifier
1780821538
Registry record updated Jan 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
WEBSTER LIGHT LLC
Practice address
1398 Main St
Worcester, MA 01603-1524
Phone
(617) 407-2463
Fax
(617) 671-0913
NPI assigned
Jan 15, 2009
Last updated
Jan 15, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2009

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

Authorized official

Name
Steve Leon Dashevsky
Title
Owner
Phone
(617) 407-2463

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X MA Primary

Addresses

Primary practice location

1398 Main St
Worcester, MA 01603-1524

Mailing address

194 Neponset St
Norwood, MA 02062-3601
Phone (617) 407-2463

National Provider Directory

National Provider Directory
Tax ID family
Webster Light LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1398 Main St
Worcester, MA 01603
Phone (508) 756-1515

NPI Registry JSON

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

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231977600000",
    "number": "1780821538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 NEPONSET ST",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020623601",
            "telephone_number": "617-407-2463",
            "fax_number": "617-671-0913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1398 MAIN ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016031524",
            "telephone_number": "617-407-2463",
            "fax_number": "617-671-0913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEBSTER LIGHT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-15",
        "last_updated": "2009-01-15",
        "status": "A",
        "authorized_official_last_name": "DASHEVSKY",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "LEON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-407-2463"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; 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.