Active NPI
Corey Hill Nursing Home, Inc.
- Skilled Nursing Facility
- Brighton, MA
National Provider Identifier
1801957246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0528
- Legal business name
- COREY HILL NURSING HOME, INC.
- Doing business as
- Corey Hill Nursing Home
- Practice address
- 249 Corey Rd
Brighton, MA 02135-8323 - Phone
- (671) 734-7138
- Fax
- (671) 731-8359
- NPI assigned
- Dec 12, 2006
- 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
- Mr. Peter H. Thisse
- Title
- Controller
- Phone
- (781) 762-0703
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 0528 | MA | Primary |
Addresses
Primary practice location
249 Corey Rd
Brighton, MA 02135-8323
Mailing address
80 Access Rd
Norwood, MA 02062-5237
Phone (781) 762-0703
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0999636 | Medicaid | MA |
Other names 1
- Corey Hill Nursing Home
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1323993600000",
"number": "1801957246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 ACCESS RD",
"city": "NORWOOD",
"state": "MA",
"postal_code": "020625237",
"telephone_number": "781-762-0703",
"fax_number": "781-762-2099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "249 COREY RD",
"city": "BRIGHTON",
"state": "MA",
"postal_code": "021358323",
"telephone_number": "671-734-7138",
"fax_number": "671-731-8359"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COREY HILL NURSING HOME, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-12",
"last_updated": "2011-12-16",
"status": "A",
"authorized_official_last_name": "THISSE",
"authorized_official_first_name": "PETER",
"authorized_official_middle_name": "H.",
"authorized_official_title_or_position": "CONTROLLER",
"authorized_official_telephone_number": "781-762-0703",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MA",
"license": "0528",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0999636",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Corey Hill Nursing Home",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Brighton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.