Organization Active NPI

Corey Hill Nursing Home, Inc.

  • Skilled Nursing Facility
  • Brighton, MA
National Provider Identifier
1801957246
Registry record updated Dec 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0528 Issued in MA
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

Updated by the provider on Dec 16, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0999636MedicaidMA

Other names 1

  • Corey Hill Nursing Home 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": "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.

Verify at the official NPI Registry.