Active NPI
IHS of Massachusetts, LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Weymouth, MA
National Provider Identifier
1790174696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- IHS OF MASSACHUSETTS, LLC
- Practice address
- 587 Washington St
Weymouth, MA 02188-3441 - Phone
- (781) 871-7400
- NPI assigned
- Jan 15, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathleen McDonnell
- Title
- President/Coo
- Phone
- (954) 840-0433
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
587 Washington St
Weymouth, MA 02188-3441
Mailing address
6001 Broken Sound Pkwy
Ste 508
Boca Raton, FL 33487-2765
Phone (561) 443-0743
Other names 1
- Advanced Kidney Therapies of Weymouth
National Provider Directory
National Provider DirectoryLocations
6001 Broken Sound Pkwy NW
Ste 508
Boca Raton, FL 33487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421280000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1421280000000",
"number": "1790174696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6001 BROKEN SOUND PKWY",
"address_2": "STE 508",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334872765",
"telephone_number": "561-443-0743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "587 WASHINGTON ST",
"city": "WEYMOUTH",
"state": "MA",
"postal_code": "021883441",
"telephone_number": "781-871-7400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IHS OF MASSACHUSETTS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-15",
"last_updated": "2015-01-15",
"status": "A",
"authorized_official_last_name": "MCDONNELL",
"authorized_official_first_name": "KATHLEEN",
"authorized_official_title_or_position": "PRESIDENT/COO",
"authorized_official_telephone_number": "954-840-0433"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Advanced Kidney Therapies of Weymouth",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Weymouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.