Sisters of Providence Care Centers Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0021 Issued in MA

Legal business name

SISTERS OF PROVIDENCE CARE CENTERS INC.

Doing business as

Providence Care Center of Lenox

Practice address

320 Pittsfield Rd
Lenox, MA 01240-2377

Phone

(413) 637-2660

Fax

(413) 637-3085

NPI assigned

Nov 1, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Christopher John McLaughlin

Title

Chief Operating Officer

Phone

(413) 539-2917

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Providence Care Center of Lenox Doing business as

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

{
    "created_epoch": "1130803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328572800000",
    "number": "1811988645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 PITTSFIELD RD",
            "city": "LENOX",
            "state": "MA",
            "postal_code": "012402377",
            "telephone_number": "413-637-2660",
            "fax_number": "413-637-3085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 PITTSFIELD RD",
            "city": "LENOX",
            "state": "MA",
            "postal_code": "012402377",
            "telephone_number": "413-637-2660",
            "fax_number": "413-637-3085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SISTERS OF PROVIDENCE CARE CENTERS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-01",
        "last_updated": "2012-02-07",
        "status": "A",
        "authorized_official_last_name": "MCLAUGHLIN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "413-539-2917",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "0021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE NURSING HOME LICENS",
            "identifier": "0021",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0924229",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Providence Care Center of Lenox",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sharon a. Mozian, M.D., P.C.
• Valerie Appolonia Sheehan, LICSW
• Anna Walker Shippee, LCSW
• Shire City Endo
• Maria Sirois
• Clifford L Snyder, DMD
• Amanda M Staples Opperman, DO
• Alexis Marie Stiffler, OTR
• Ridge Joseph Sulkey
• Jacob W Tetrault, PHARMD

• Skilled Nursing Facility in Lenox, MA
• Providers in Lenox, MA by specialty
• Skilled Nursing Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.

Verify at the official NPI Registry.