Active NPI
Northgate Healthcare Services Corporation
- Skilled Nursing Facility
- Wilmington, MA
National Provider Identifier
1790769347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0947
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0920878 | Medicaid | MA |
Other names 1
- Woodbriar of Wilmington Rehabilitation & Skilled Nursing Center
National Provider Directory
National Provider DirectoryNPI 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.