Organization Active NPI

Haven Helath Center of Chelsea, LLC

  • Skilled Nursing Facility
  • Chelsea, MA
National Provider Identifier
1881647766
Registry record updated Dec 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0944 Issued in MA
Legal business name
HAVEN HELATH CENTER OF CHELSEA, LLC
Practice address
932 Broadway
Chelsea, MA 02150-2213
Phone
(617) 889-2250
Fax
(617) 889-0105
NPI assigned
May 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2007

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

Authorized official

Name
Ms. Paula Bloom
Title
Director of Ar
Phone
(860) 344-3884

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0944 MA Primary

Addresses

Primary practice location

932 Broadway
Chelsea, MA 02150-2213

Mailing address

932 Broadway
Chelsea, MA 02150-2213
Phone (617) 889-2250

Other identifiers 1

IdentifierTypeStateIssuer
0928852MedicaidMA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198800000000",
    "number": "1881647766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "932 BROADWAY",
            "city": "CHELSEA",
            "state": "MA",
            "postal_code": "021502213",
            "telephone_number": "617-889-2250",
            "fax_number": "617-889-0105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "932 BROADWAY",
            "city": "CHELSEA",
            "state": "MA",
            "postal_code": "021502213",
            "telephone_number": "617-889-2250",
            "fax_number": "617-889-0105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN HELATH CENTER OF CHELSEA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2007-12-28",
        "status": "A",
        "authorized_official_last_name": "BLOOM",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "DIRECTOR OF AR",
        "authorized_official_telephone_number": "860-344-3884",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "0944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0928852",
            "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 Dec 28, 2007; 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.