Charlwell Healthcare LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0774 Issued in MA

Legal business name

CHARLWELL HEALTHCARE LLC

Doing business as

Charlwell House

Practice address

305 Walpole St
Norwood, MA 02062-3021

Phone

(781) 762-7700

Fax

(781) 255-0387

NPI assigned

May 30, 2006

Organization subpart

No

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

Authorized official

Name

Lisa M. Coppola

Title

Manager

Phone

(781) 762-7700

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Charlwell House Doing business as

Locations

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414627200000",
    "number": "1952358392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 WALPOLE ST",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020623021",
            "telephone_number": "781-762-7700",
            "fax_number": "781-255-0387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 WALPOLE ST",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020623021",
            "telephone_number": "781-762-7700",
            "fax_number": "781-255-0387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLWELL HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-30",
        "last_updated": "2014-10-30",
        "status": "A",
        "authorized_official_last_name": "COPPOLA",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "781-762-7700"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "0774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110026653B",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0940526",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charlwell House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Chammas
• Jamie Chan
• Ling Chan
• Pauline Yuen Chao, MD
• Chapel Medical Associates, Inc
• Charlwell House Opco LLC
• Charlwell Operating LLC
• Charwell House SNF Operations BHC LLC
• Paula Chasan, APRN
• Kristin Chase

• Skilled Nursing Facility in Norwood, MA
• Providers in Norwood, 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 30, 2014; 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.