Active NPI
Harborlights Nursing, L.L.C.
- Skilled Nursing Facility
- South Boston, MA
National Provider Identifier
1992812929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- HARBORLIGHTS NURSING, L.L.C.
- Practice address
- 804 E 7TH St
South Boston, MA 02127-4346 - Phone
- (617) 268-8968
- Fax
- (617) 268-4616
- NPI assigned
- Aug 24, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Marilyn A. Weaver
- Title
- Assistant Secretary
- Phone
- (502) 596-7563
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | MA | Primary |
Addresses
Primary practice location
804 E 7TH St
South Boston, MA 02127-4346
Mailing address
680 S 4TH St
Louisville, KY 40202-2407
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 124522555 | Other | MA | SENIOR WHOLE HEALTH |
| 0022733 | Other | MA | MARTINS POINT |
| 000000028293 | Other | MA | BMC HEALTH NET |
| 907778 | Other | MA | EVERCARE |
| 2222573701 | Other | MA | BLUE CROSS BLUE SHIELD |
| 0928003 | Medicaid | MA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1524182400000",
"number": "1992812929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "680 S 4TH ST",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402022407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "804 E 7TH ST",
"city": "SOUTH BOSTON",
"state": "MA",
"postal_code": "021274346",
"telephone_number": "617-268-8968",
"fax_number": "617-268-4616"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARBORLIGHTS NURSING, L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-24",
"last_updated": "2018-04-20",
"status": "A",
"authorized_official_last_name": "WEAVER",
"authorized_official_first_name": "MARILYN",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "ASSISTANT SECRETARY",
"authorized_official_telephone_number": "502-596-7563",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENIOR WHOLE HEALTH",
"identifier": "124522555",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MARTINS POINT",
"identifier": "0022733",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BMC HEALTH NET",
"identifier": "000000028293",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EVERCARE",
"identifier": "907778",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "2222573701",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0928003",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.