Revolution at Sarah Brayton Place LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

REVOLUTION AT SARAH BRAYTON PLACE LLC

Practice address

4901 N Main St
Fall River, MA 02720-2080

Phone

(508) 675-1001

NPI assigned

May 28, 2021

Organization subpart

No

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

Authorized official

Name

Joseph J Deutsch

Title

Authorized Signer

Phone

(508) 675-1001

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1622160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633564800000",
    "number": "1932775244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 N MAIN ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027202080",
            "telephone_number": "508-675-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 N MAIN ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027202080",
            "telephone_number": "508-675-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVOLUTION AT SARAH BRAYTON PLACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-28",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A",
        "authorized_official_last_name": "DEUTSCH",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "AUTHORIZED SIGNER",
        "authorized_official_telephone_number": "508-675-1001"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emmanuel D Resendes, ANP-BC
• Staci M Resnick, M.D.
• Respiratory Health Associates Inc
• Claudette Y Reuss, NP
• Samantha Revane
• Revolution Kimwell LLC
• Ira H. Rex III, M.D.
• Danelyn Odette Reyes
• Kiarah Reyes, BA
• Mya Lee Reyes

• Skilled Nursing Facility in Fall River, MA
• Providers in Fall River, MA by specialty
• Skilled Nursing Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; 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.