Organization Active NPI

Admiral'S Hill Assisted Living, L.P.

  • Assisted Living Facility
  • Chelsea, MA
National Provider Identifier
1871583518
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
ADMIRAL'S HILL ASSISTED LIVING, L.P.
Practice address
201 Captains Row
Chelsea, MA 02150-4068
Phone
(617) 889-8740
Fax
(617) 889-8745
NPI assigned
Oct 25, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Barry S. Berman
Title
Executive Director
Phone
(617) 884-6766

Specialties & licenses 1

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

Addresses

Primary practice location

201 Captains Row
Chelsea, MA 02150-4068

Mailing address

17 Lafayette Ave
Chelsea, MA 02150-2010
Phone (617) 884-6766

Other identifiers 1

IdentifierTypeStateIssuer
1902873MedicaidMA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871583518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 LAFAYETTE AVE",
            "city": "CHELSEA",
            "state": "MA",
            "postal_code": "021502010",
            "telephone_number": "617-884-6766",
            "fax_number": "617-889-6176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 CAPTAINS ROW",
            "city": "CHELSEA",
            "state": "MA",
            "postal_code": "021504068",
            "telephone_number": "617-889-8740",
            "fax_number": "617-889-8745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADMIRAL'S HILL ASSISTED LIVING, L.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERMAN",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "617-884-6766",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902873",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelsea, MA

Sources for this page

  • 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.