OLSL LONGMEADOW PLACE, LLC (NPI# 1245374586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245374586 |
| Entity Type | Organization |
| Organization Name | OLSL LONGMEADOW PLACE, LLC |
| Practice Address |
42 Mall Rd Burlington MA 01803-4568 |
| Mailing Address |
401 S 4th St Suite 1900 Louisville KY 40202-3426 |
| Practice Telephone | 7812709008 |
| Practice Fax Number | 7812709009 |
| Mailing Telephone | 5027797512 |
| Mailing Fax Number | 5027794747 |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. KELLY LANHAM (CHIEF ACCOUNTING OFFICER) |
| Authorized Official Telephone | 5027797512 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | PROVIDER NUMBER | 1905821 | 01 |
| Street Address |
42 MALL RD |
| City | BURLINGTON |
| State | MA |
| Zip Code | 01803-4568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962841031 | Wg Longmeadow Place Sh, LLC | Assisted Living Facility | 42 Mall Rd, Burlington, MA 01803-4568 | 2013-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780219089 | Mallika Tara Iyer | Behavior Technician | 64 S Bedford Street, Burlington, MA 01803 | 2020-03-06 |
| 1518445709 | Patriot Urgent Care Professionals, PC | General Practice | 90 Middlesex Turnpike, Burlington, MA 01803 | 2018-07-31 |
| 1932608122 | Danielle Berkowitz | Registered Nurse | 90 Middlesex Tpke Ste G, Burlington, MA 01803 | 2018-02-02 |
| 1255861860 | David William Mahnken | Social Worker | 11a Cypress Drive, Burlington, MA 01803 | 2017-06-15 |
| 1770030710 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 1300 Middlesex Turnpike, Burlington, MA 01803 | 2016-09-07 |
| 1083091557 | Burlington Eye Group, Inc | Optometrist | 74 Burlington Mall Road, Burlington, MA 01803 | 2015-05-04 |
| 1720485535 | Db2 Practice Management | Clinic/Center | 11 Cambridge St, Burlington, MA 01803 | 2014-11-21 |
| 1689081812 | Jasmit Minhas | Internal Medicine | 9 Kimball Court, Apt 112, Burlington, MA 01803 | 2014-07-21 |
| 1528404993 | Alexander David Neusner | Surgery | 40 Mall Rd, Burlington, MA 01803 | 2013-05-13 |
| 1730421389 | First Choice Dental Group | Dentist | 11 Camridge Street, Burlington, MA 01803 | 2013-03-21 |
| Find all providers in zip 01803 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376059709 | A.d.e.p.t. Programs, Inc. | Assisted Living Facility | 1701 Salem Rd Apt O11, Burlington, NJ 08016-8117 | 2017-12-21 |
| 1033625686 | A.d.e.p.t. Programs, Inc. | Assisted Living Facility | 309 Northgate Vlg Apt 79, Burlington, NJ 08016-4012 | 2017-12-19 |
| 1124534771 | A.d.e.p.t. Programs, Inc. | Assisted Living Facility | 309 Northgate Vlg Apt 89, Burlington, NJ 08016-4012 | 2017-12-19 |
| 1952817504 | A.d.e.p.t. Programs, Inc. | Assisted Living Facility | 309 Northgate Vlg Apt 99, Burlington, NJ 08016-4012 | 2017-12-19 |
| 1861908410 | A.d.e.p.t. Programs, Inc. | Assisted Living Facility | 309 Northgate Vlg Apt 255, Burlington, NJ 08016-4012 | 2017-12-19 |
| 1144736794 | A.d.e.p.t. Programs, Inc. | Assisted Living Facility | 309 Northgate Vlg Apt 267, Burlington, NJ 08016-4012 | 2017-12-19 |
| 1023524675 | A.d.e.p.t. Programs, Inc. | Assisted Living Facility | 309 Northgate Vlg Apt 279, Burlington, NJ 08016-4012 | 2017-12-19 |
| 1053827600 | A.d.e.p.t. Programs, Inc. | Assisted Living Facility | 309 Northgate Vlg Apt 289, Burlington, NJ 08016-4012 | 2017-12-19 |
| 1114433760 | A.d.e.p.t. Programs, Inc. | Assisted Living Facility | 309 Northgate Vlg Apt 303, Burlington, NJ 08016-4012 | 2017-12-19 |
| 1790290641 | A.d.e.p.t. Programs, Inc. | Assisted Living Facility | 1701 Salem Rd Apt O5, Burlington, NJ 08016-3158 | 2017-12-13 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 01803 |
Please comment or provide details below to improve the information on OLSL LONGMEADOW PLACE, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.