Piety Corner Nursing Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

3982 Issued in MA

Legal business name

PIETY CORNER NURSING HOME

Practice address

325 Bacon St
Waltham, MA 02451-7519

Phone

(781) 894-5264

Fax

(781) 894-6011

NPI assigned

Sep 8, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Pamela Pattavina, LNHA

Title

Administrator

Phone

(781) 894-5264

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831293240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 BACON ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024517519",
            "telephone_number": "781-894-5264",
            "fax_number": "781-894-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 BACON ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024517519",
            "telephone_number": "781-894-5264",
            "fax_number": "781-894-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIETY CORNER NURSING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PATTAVINA",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "781-894-5264",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MA",
            "license": "3982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0927163",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maegan L Picariello, NP
• Rebecca Marie Pierpont, OTR/L
• Mindy Pierre
• Natasha M Pierre, LMHC
• Nedjy Pierre
• Michael S. Pignato, LADC2
• Katherine S. Pike, MSW, LCSW
• Alan Pinshaw, M.D.
• Reily Anna Piotrowski, PT, DPT
• Diane Marie Pisan, CCC-SLP

• Assisted Living Facility in Waltham, MA
• Providers in Waltham, MA by specialty
• 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.