Active NPI
Colonial Nursing Home of Weymouth, Inc
- Skilled Nursing Facility
- Weymouth, MA
National Provider Identifier
1881668382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0442
- Legal business name
- COLONIAL NURSING HOME OF WEYMOUTH, INC
- Practice address
- 128 Broad St
Weymouth, MA 02188-2336 - Phone
- (781) 337-3121
- Fax
- (781) 337-7510
- NPI assigned
- Feb 14, 2006
- Last updated
- Oct 26, 2009
- 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
- Mr. Michael Welch
- Title
- Vice President
- Phone
- (781) 337-3121
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 0442 | MA | Primary |
Addresses
Primary practice location
128 Broad St
Weymouth, MA 02188-2336
Mailing address
52 Accord Park Dr
Norwell, MA 02061-1628
Phone (781) 878-6700
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 803042 | Other | MA | TUFTS HEALTH - HMO |
| 0020168 | Other | MA | NEIGHBORHOOD HEALTH - HMO |
| 0999644 | Medicaid | MA | |
| 2222505901 | Other | MA | BLUE CROSS - HMO |
| 902179 | Other | MA | HARVARD PILGRIM |
National Provider Directory
National Provider Directory- Tax ID family
- Bane Colonial LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Colonial Nursing Home Adult Day Health
- Adult Day Care Clinic/Center
- Weymouth, MA
- NPI 1275980526
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1256515200000",
"number": "1881668382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52 ACCORD PARK DR",
"city": "NORWELL",
"state": "MA",
"postal_code": "020611628",
"telephone_number": "781-878-6700",
"fax_number": "781-878-9807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 BROAD ST",
"city": "WEYMOUTH",
"state": "MA",
"postal_code": "021882336",
"telephone_number": "781-337-3121",
"fax_number": "781-337-7510"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLONIAL NURSING HOME OF WEYMOUTH, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-14",
"last_updated": "2009-10-26",
"status": "A",
"authorized_official_last_name": "WELCH",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "781-337-3121",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MA",
"license": "0442",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH - HMO",
"identifier": "803042",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH - HMO",
"identifier": "0020168",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0999644",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS - HMO",
"identifier": "2222505901",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "902179",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Weymouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.