NPIMap

Organization Active NPI

Quaside Inc

  • Skilled Nursing Facility
  • Pittsfield, MA
National Provider Identifier
1902880040
Registry record updated Apr 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0852 Issued in MA
Legal business name
QUASIDE INC
Practice address
255 Lebanon Avenue
Pittsfield, MA 01201-7828
Phone
(413) 499-2334
Fax
(413) 443-1996
NPI assigned
Dec 2, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2011

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

Authorized official

Name
Mary Chris Decker
Title
Administrator
Phone
(413) 499-2334

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0852 MA Primary

Addresses

Primary practice location

255 Lebanon Avenue
Pittsfield, MA 01201-7828

Mailing address

255 Lebanon Avenue
Pittsfield, MA 01201-7828
Phone (413) 499-2334

Other identifiers 4

IdentifierTypeStateIssuer
01660168MedicaidNY
0921386MedicaidMA
01660168OtherNYNY MCD
35789362OtherMATPIN NUMBER

Other names 1

  • Springside of Pittsfield Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302134400000",
    "number": "1902880040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 LEBANON AVENUE",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012017828",
            "telephone_number": "413-499-2334",
            "fax_number": "413-443-1996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 LEBANON AVENUE",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012017828",
            "telephone_number": "413-499-2334",
            "fax_number": "413-443-1996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUASIDE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-02",
        "last_updated": "2011-04-07",
        "status": "A",
        "authorized_official_last_name": "DECKER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "CHRIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "413-499-2334"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "0852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01660168",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0921386",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY MCD",
            "identifier": "01660168",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TPIN NUMBER",
            "identifier": "35789362",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Springside of Pittsfield",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pittsfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2011; 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.