Organization Active NPI

Southpointe Nursing Home Inc

  • Skilled Nursing Facility
  • Fall River, MA
National Provider Identifier
1952389249
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0955 Issued in MA
Legal business name
SOUTHPOINTE NURSING HOME INC
Doing business as
Southpointe Rehab & Skilled Care Center
Practice address
100 Amity St
Fall River, MA 02721-2202
Phone
(508) 675-2500
Fax
(508) 675-8874
NPI assigned
Jan 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Caterina Mina Imbriano
Title
Assistant Controller
Phone
(781) 251-9001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0955 MA Primary

Addresses

Primary practice location

100 Amity St
Fall River, MA 02721-2202

Mailing address

3 Allied Dr
Suite 106
Dedham, MA 02026-6122
Phone (781) 251-9001

Other identifiers 1

IdentifierTypeStateIssuer
0921157MedicaidMA

Other names 1

  • Southpointe Rehab & Skilled Care Center Doing business as

National Provider Directory

National Provider Directory

Locations

3 Allied Dr
Ste 106
Dedham, MA 02026

NPI Registry JSON

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952389249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 ALLIED DR",
            "address_2": "SUITE 106",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020266122",
            "telephone_number": "781-251-9001",
            "fax_number": "781-251-9007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 AMITY ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027212202",
            "telephone_number": "508-675-2500",
            "fax_number": "508-675-8874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHPOINTE NURSING HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "IMBRIANO",
        "authorized_official_first_name": "CATERINA",
        "authorized_official_middle_name": "MINA",
        "authorized_official_title_or_position": "ASSISTANT CONTROLLER",
        "authorized_official_telephone_number": "781-251-9001",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "0955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0921157",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southpointe Rehab & Skilled Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fall River, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.