Hcri Gardner Park Tenant TRS, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

HCRI GARDNER PARK TENANT TRS, LLC

Practice address

73 Margin St
Peabody, MA 01960-1877

Phone

(978) 532-3200

NPI assigned

Oct 22, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey Miller

Title

Authorized Official

Phone

(419) 246-2800

Specialties & licenses 1

Addresses

Other names 1

• Sunrise at Gardner Park Doing business as

Locations

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

{
    "created_epoch": "1413936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413936000000",
    "number": "1972907707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7902 WESTPARK DR",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221024202",
            "telephone_number": "703-273-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 MARGIN ST",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019601877",
            "telephone_number": "978-532-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HCRI GARDNER PARK TENANT TRS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-22",
        "last_updated": "2014-10-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "419-246-2800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise at Gardner Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rudwan Hassan
• Peter William Hatch, MA, LABA, BCBA
• Michelle Renee Hauprich, OTR/L
• Susan Marie Hayes, LMT
• Melissa Cristina Hays
• Greg Healey, LICSW
• Health Key PC
• Healthcare MGT Solutions Foundation Inc
• Patricia A Hebert, M.D.
• Matthew David Heller, M. D.

• All providers in Peabody, MA
• Assisted Living Facility in Massachusetts

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