Davenport Memorial Foundation

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

License

1132 Issued in MA

Legal business name

DAVENPORT MEMORIAL FOUNDATION

Practice address

70 Salem St
Malden, MA 02148-5208

Phone

(781) 324-0150

Fax

(781) 324-3828

NPI assigned

Aug 30, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Beth E. Walsh

Title

Director

Phone

(781) 324-0150

Specialties & licenses 1

Addresses

Other names 1

• Davenport Memorial Home Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188432000000",
    "number": "1891989000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 SALEM ST",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021485208",
            "telephone_number": "781-324-0150",
            "fax_number": "781-324-3828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 SALEM ST",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021485208",
            "telephone_number": "781-324-0150",
            "fax_number": "781-324-3828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVENPORT MEMORIAL FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-30",
        "last_updated": "2007-08-30",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "781-324-0150",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "MA",
            "license": "1132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Davenport Memorial Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Emily Daniels
• Claire Darbouze
• Darien Home Care Agency LLC
• Susan B Darish, DC
• Dayani Queiroz Dasilva
• David F Tee MD PC
• David M Guyette MD PC
• Lisa Marie Davide, BEHAVIOR THERAPIST
• Dayspring Health Care Inc
• Johan Christian De Besche, PT, DPT

• Custodial Care Facility in Malden, MA
• Providers in Malden, MA by specialty
• Custodial Care Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.