Masonic Home Inc.

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

0749 Issued in MA

Legal business name

MASONIC HOME INC.

Practice address

88 Masonic Home Rd
Charlton, MA 01507

Phone

(508) 248-7344

Fax

(508) 248-7989

NPI assigned

Oct 16, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Cathleen Dennison

Title

Finance Dept Supervisor

Phone

(508) 434-2231

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982784930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 MASONIC HOME RD",
            "city": "CHARLTON",
            "state": "MA",
            "postal_code": "01507",
            "telephone_number": "508-248-7344",
            "fax_number": "508-248-7989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 MASONIC HOME RD",
            "city": "CHARLTON",
            "state": "MA",
            "postal_code": "01507",
            "telephone_number": "508-248-7344",
            "fax_number": "508-248-7989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASONIC HOME INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DENNISON",
        "authorized_official_first_name": "CATHLEEN",
        "authorized_official_title_or_position": "FINANCE DEPT SUPERVISOR",
        "authorized_official_telephone_number": "508-434-2231",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "MA",
            "license": "0749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Maly, R.D.O.
• Julie March
• Yesenia Marie Marquez
• Jessica Tyler Martin, LADC 1, LMHC
• Masonic Health System of Massachusetts Inc. (Overlook Outpatient Rehabilitation and Wellness)
• Kristin Anne Mattson, P.T.
• McManus Counseling PC
• Michael James McManus Jr., MSW LICSW
• Patricia A McManus, OTR/L
• Carleen Anne McQuaid, MS RNC NURSE PRACTIT

• Nursing Facility/Intermediate Care Facility in Charlton, MA
• Providers in Charlton, MA by specialty
• Nursing Facility/Intermediate Care Facility in Massachusetts

• 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.