Organization Active NPI

WG Longmeadow Place SH, LLC

  • Assisted Living Facility
  • Burlington, MA
National Provider Identifier
1962841031
Registry record updated Jun 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
WG LONGMEADOW PLACE SH, LLC
Doing business as
Atria Longmeadow Place
Practice address
42 Mall Rd
Burlington, MA 01803-4568
Phone
(781) 270-9008
Fax
(781) 270-9009
NPI assigned
Jun 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2013

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

Authorized official

Name
W. Bryan Hudson
Title
Authorized Representative
Phone
(502) 779-4700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X MA Primary

Addresses

Primary practice location

42 Mall Rd
Burlington, MA 01803-4568

Mailing address

401 S 4TH St
Suite 1900, Attn: Legal Dept.
Louisville, KY 40202-3426
Phone (502) 779-4700

Other names 1

  • Atria Longmeadow Place Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2198555WG Longmeadow Place SH, LLC42 Mall Rd, Burlington, MA 01803Certificate of waiverNov 2, 2026

National Provider Directory

National Provider Directory

Locations

42 Mall Rd
Burlington, MA 01803
Phone (781) 270-9008

NPI Registry JSON

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

{
    "created_epoch": "1371772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371772800000",
    "number": "1962841031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S 4TH ST",
            "address_2": "SUITE 1900, ATTN: LEGAL DEPT.",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402023426",
            "telephone_number": "502-779-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 MALL RD",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018034568",
            "telephone_number": "781-270-9008",
            "fax_number": "781-270-9009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WG LONGMEADOW PLACE SH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-21",
        "last_updated": "2013-06-21",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "W.",
        "authorized_official_middle_name": "BRYAN",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "502-779-4700"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atria Longmeadow Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burlington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.