Active NPI
Haven Helath Center of Chelsea, LLC
- Skilled Nursing Facility
- Chelsea, MA
National Provider Identifier
1881647766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0944
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0928852 | Medicaid | MA |
National Provider Directory
National Provider DirectoryNPI 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.