Organization Active NPI

Melville Rest Home

  • Custodial Care Facility
  • Dorchester Center, MA
National Provider Identifier
1811023013
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Custodial Care FacilityTaxonomy code 311Z00000X
License
19524 Issued in MA
Legal business name
MELVILLE REST HOME
Practice address
3 Melville Ave
Dorchester Center, MA 02124-2105
Phone
(617) 288-5816
Fax
(617) 288-6372
NPI assigned
Feb 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Laurence H Murray
Title
Administrator
Phone
(617) 288-5816

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X 19524 MA Primary

Addresses

Primary practice location

3 Melville Ave
Dorchester Center, MA 02124-2105

Mailing address

3 Melville Ave
Dorchester Center, MA 02124-2105
Phone (617) 288-5816

Other names 1

  • Melville Rest Home Doing business as

National Provider Directory

National Provider Directory

Locations

3 Melville Ave
Dorchester Center, MA 02124
Phone (617) 288-5816

NPI Registry JSON

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

{
    "created_epoch": "1172275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811023013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MELVILLE AVE",
            "city": "DORCHESTER CENTER",
            "state": "MA",
            "postal_code": "021242105",
            "telephone_number": "617-288-5816",
            "fax_number": "617-288-6372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MELVILLE AVE",
            "city": "DORCHESTER CENTER",
            "state": "MA",
            "postal_code": "021242105",
            "telephone_number": "617-288-5816",
            "fax_number": "617-288-6372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELVILLE REST HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "LAURENCE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "617-288-5816",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "MA",
            "license": "19524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Melville Rest Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dorchester Center, MA

Sources for this page

  • 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.