Organization Active NPI

Volunteers of America-Concord Park

  • Assisted Living Facility
  • Concord, MA
National Provider Identifier
1841316635
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
1905163 Issued in MA
Legal business name
VOLUNTEERS OF AMERICA-CONCORD PARK
Practice address
68 Commonwealth Ave
Concord, MA 01742-2967
Phone
(978) 369-4728
NPI assigned
Mar 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Nancy Crowley
Title
Executive Director
Phone
(978) 772-0707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 1905163 MA Primary

Addresses

Primary practice location

68 Commonwealth Ave
Concord, MA 01742-2967

Mailing address

68 Commonwealth Ave
Concord, MA 01742-2967
Phone (978) 369-4728

Other identifiers 1

IdentifierTypeStateIssuer
1905163MedicaidMA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1841316635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 COMMONWEALTH AVE",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422967",
            "telephone_number": "978-369-4728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 COMMONWEALTH AVE",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422967",
            "telephone_number": "978-369-4728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VOLUNTEERS OF AMERICA-CONCORD PARK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "CROWLEY",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "978-772-0707"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MA",
            "license": "1905163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1905163",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.