Coleman House,LTD

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

COLEMAN HOUSE,LTD

Practice address

112 W Main St
Northborough, MA 01532-1824

Phone

(508) 351-9355

Fax

(508) 351-1666

NPI assigned

Feb 20, 2007

Organization subpart

No

Name

Mr. Patrick C Blake, NHA

Title

Director

Phone

(508) 351-9355

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821132952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 W MAIN ST",
            "city": "NORTHBOROUGH",
            "state": "MA",
            "postal_code": "015321824",
            "telephone_number": "508-351-9355",
            "fax_number": "508-351-1666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W MAIN ST",
            "city": "NORTHBOROUGH",
            "state": "MA",
            "postal_code": "015321824",
            "telephone_number": "508-351-9355",
            "fax_number": "508-351-1666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLEMAN HOUSE,LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLAKE",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "508-351-9355",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1900421",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wan Choi, RPH
• Christy A Clark, PH.D.
• Elena Climov, FNP
• Eloise R Colasanto-Saia, R.D., LDN, C.D.E.
• Cole Psychological and Assessment Services LLC
• Confident Counseling
• Kyla Connor
• Kimberly Conran
• Robert K Cooke, LICSW
• Elisa Cosme

• All providers in Northborough, MA
• Assisted Living 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.