Lord Nathan Rest Home

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

License

1058 Issued in MA

Legal business name

LORD NATHAN REST HOME

Practice address

175 Bowdoin St
Springfield, MA 01109-4050

Phone

(413) 737-2148

NPI assigned

Mar 25, 2007

Organization subpart

No

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

Authorized official

Name

Michael Joseph

Title

Administrator

Phone

(413) 737-2148

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1174780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790802510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 BOWDOIN ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011094050",
            "telephone_number": "413-737-2148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 BOWDOIN ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011094050",
            "telephone_number": "413-737-2148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORD NATHAN REST HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "413-737-2148"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "MA",
            "license": "1058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "5508452",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra Lopez
• Seyenah Lopez
• Wilnelia Lopez
• Chantelle Lora
• Delaney Lora
• Genevieve Lorenz
• Ramon Lorenzi
• Mireya Lorenzo
• Wilmari Lorenzo
• Maria Lucia Lorestein, MD

• Custodial Care Facility in Springfield, MA
• Providers in Springfield, MA by specialty
• Custodial Care Facility in Massachusetts

• 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.