Sons of Divine Providence Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SONS OF DIVINE PROVIDENCE INC

Practice address

111 Orient Ave
East Boston, MA 02128-1006

Phone

(617) 569-2100

Fax

(617) 561-1138

NPI assigned

Sep 27, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Stan Sawicki

Title

Administrator

Phone

(617) 569-2100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Don Orione Home Doing business as

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201132800000",
    "number": "1861488686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 ORIENT AVE",
            "city": "EAST BOSTON",
            "state": "MA",
            "postal_code": "021281006",
            "telephone_number": "617-569-2100",
            "fax_number": "617-561-1138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 ORIENT AVE",
            "city": "EAST BOSTON",
            "state": "MA",
            "postal_code": "021281006",
            "telephone_number": "617-569-2100",
            "fax_number": "617-561-1138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONS OF DIVINE PROVIDENCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-27",
        "last_updated": "2008-01-24",
        "status": "A",
        "authorized_official_last_name": "SAWICKI",
        "authorized_official_first_name": "STAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "617-569-2100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0999555",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Don Orione Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Galina Mae Smith, CNP
• Ewa B Smoczkiewicz, M.D.
• Alan Mark Smolinski, MD
• Joel J Snider, M.D.
• Gabriela Sommer Yamamoto
• Sons of Divine Providence,Inc.
• Eliza Sparkes, MSW
• James Lewis Sparks, LICSW
• Springfield Family Dental PC
• Springfield Family Dental PC

• Skilled Nursing Facility in East Boston, MA
• Providers in East Boston, 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 Jan 24, 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.