Organization Active NPI

Northgate Healthcare Services Corporation

  • Skilled Nursing Facility
  • Wilmington, MA
National Provider Identifier
1790769347
Registry record updated Mar 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0947 Issued in MA
Legal business name
NORTHGATE HEALTHCARE SERVICES CORPORATION
Practice address
90 West St
Wilmington, MA 01887-3039
Phone
(978) 658-2700
Fax
(978) 657-0015
NPI assigned
Dec 6, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2012

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

Authorized official

Name
Dennis S Sargent
Title
President
Phone
(978) 658-2700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0947 MA Primary

Addresses

Primary practice location

90 West St
Wilmington, MA 01887-3039

Mailing address

90 West St
Wilmington, MA 01887-3039
Phone (978) 658-2700

Other identifiers 1

IdentifierTypeStateIssuer
0920878MedicaidMA

Other names 1

  • Woodbriar of Wilmington Rehabilitation & Skilled Nursing Center 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": "1133827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331683200000",
    "number": "1790769347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 WEST ST",
            "city": "WILMINGTON",
            "state": "MA",
            "postal_code": "018873039",
            "telephone_number": "978-658-2700",
            "fax_number": "978-657-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 WEST ST",
            "city": "WILMINGTON",
            "state": "MA",
            "postal_code": "018873039",
            "telephone_number": "978-658-2700",
            "fax_number": "978-657-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHGATE HEALTHCARE SERVICES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-06",
        "last_updated": "2012-03-14",
        "status": "A",
        "authorized_official_last_name": "SARGENT",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-658-2700"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "0947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0920878",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodbriar of Wilmington Rehabilitation & Skilled Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilmington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; 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.