Hearthstone at Golden Pond Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

HEARTHSTONE AT GOLDEN POND INC

Practice address

50 W Main St
Hopkinton, MA 01748-1672

Phone

(508) 435-0222

Fax

(508) 435-6709

NPI assigned

Oct 18, 2005

Organization subpart

No

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

Authorized official

Name

Joan Hyde, MD

Title

Ceo

Phone

(731) 674-2884

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1922097344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 WARREN AVE",
            "address_2": "STE 140",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018014979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 W MAIN ST",
            "city": "HOPKINTON",
            "state": "MA",
            "postal_code": "017481672",
            "telephone_number": "508-435-0222",
            "fax_number": "508-435-6709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTHSTONE AT GOLDEN POND INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-18",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HYDE",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "731-674-2884",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902261",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gianna Gusmini
• Traci Gustafson, COTA/L
• Timothy Michael Haffner
• Rebecca Jane Hakansson, M.S., CCC-SLP
• Hanan Khairalla MD, LLC
• Denise Hildreth, LICSW
• Wendy W Hodge, M.P.T.
• Holistic Mind & Muscle
• Erica Ann Holleran, NP
• Hopkinton Audiology LLC

• Assisted Living Facility in Hopkinton, MA
• Providers in Hopkinton, MA by specialty
• Assisted Living Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.