Radius Danvers Operating, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0781 Issued in MA

Legal business name

RADIUS DANVERS OPERATING, LLC

Doing business as

Radius HealthCare Center at Danvers

Practice address

56 Liberty Street
Danvers, MA 01923

Phone

(978) 777-2700

Fax

(978) 777-2372

NPI assigned

Nov 11, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Paul B Kemp

Title

Chief Financial Officer

Phone

(508) 879-4050

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Radius HealthCare Center at Danvers Doing business as

Locations

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

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348531200000",
    "number": "1972584357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 LIBERTY STREET",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "01923",
            "telephone_number": "508-879-4050",
            "fax_number": "508-879-1534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 LIBERTY STREET",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "01923",
            "telephone_number": "978-777-2700",
            "fax_number": "978-777-2372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIUS DANVERS OPERATING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-11",
        "last_updated": "2012-09-25",
        "status": "A",
        "authorized_official_last_name": "KEMP",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "508-879-4050",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "0781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0928372",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110026640A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Radius HealthCare Center at Danvers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Quinlan, RN
• Angela Quinn
• Denise Raboin, LICSW, CEIS
• Janine Marie Raby, RN
• Vanessa Lynne Rachels, MSW
• Michelle Radoccia
• Chantal Ragucci
• Gabrielle Rainville
• Jamie Lee Rainville, B.A.
• Ralph L Epstein MD PC

• Skilled Nursing Facility in Danvers, MA
• Providers in Danvers, 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 Sep 25, 2012; 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.