RODERICK FAMILY LLC (NPI# 1396370649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396370649 |
Entity Type | Organization |
Organization Name | RODERICK FAMILY LLC |
Practice Address |
46 Lincoln St Winthrop MA 02152-2151 |
Mailing Address |
7420 Sw Bridgeport Rd Ste 105 Portland OR 97224-7790 |
Practice Telephone | 6174409258 |
Practice Fax Number | 6172073010 |
Mailing Telephone | 5035974906 |
Enumeration Date | 2020-03-06 |
Last Update Date | 2020-03-06 |
Authorized Official Name | GREGORY A. RODERICK (MANAGER) |
Authorized Official Telephone | 5034431818 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
Other Name | Type Code |
---|---|
The Parc at Harbor View Senior Living | Doing Business As Name - Organization |
Entity Type | Entity Name | Entity Address |
---|---|---|
Massachusetts Corporations | RODERICK FAMILY LLC | 416 East Falmouth Highway, East Falmouth, MA 02536 |
Street Address |
46 LINCOLN ST |
City | WINTHROP |
State | MA |
Zip Code | 02152-2151 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376780130 | Gregory D Whall | Social Worker | 1 Seal Harbor, #302, Winthrop, MA 02152 | 2009-01-15 |
1124296264 | Town of Winthrop | Public Health or Welfare | 1 Metcalf Square, Room 5 Town Hall, Winthrop, MA 02152 | 2008-02-12 |
1912198318 | Angela Marie Flintoff | Speech-Language Pathologist | 21 Wheelock St # 2, Winthrop, MA 02152 | 2007-08-09 |
1750503355 | James R Lee Md | Ophthalmology | 52 Crest Avenue, Winthrop, MA 02152 | 2007-05-03 |
1063555449 | Michael E Cagan | Acupuncturist | Seaside Wellness Center, 213 Pauline St, Winthrop, MA 02152 | 2007-02-15 |
1710052477 | Barry Theodore Cohen | Dentist | 113 Revere Street, Suite #1, Winthrop, MA 02152 | 2006-11-21 |
1912090655 | Richard A Schwartz | Dentist | 313 Main St., Winthrop, MA 02152 | 2006-10-02 |
1669427365 | Paul Charles Mcgee | Chiropractor | 57 Putnam Street, Winthrop, MA 02152 | 2006-05-23 |
1760465942 | Laverne D Gugino | Anesthesiology | 119 Summit Ave, Winthrop, MA 02152 | 2005-11-22 |
1386137099 | Angela Flintoff, Ms Ccc-slp LLC | Speech-Language Pathologist | 21 Wheelock St # 2, Winthrop, MA 02152 | 2018-06-08 |
Find all providers in zip 02152 |
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] |
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1841707098 | B-x Agawam LLC | Assisted Living Facility | 153 Cardinal Dr, Agawam, MA 01001-2182 | 2018-01-09 |
1811404544 | B-xi Operations Holding Company LLC | Assisted Living Facility | Benchmark At Robbins Brook, 10 Devon Drive, Acton, MA 01720 | 2018-01-03 |
1558876060 | Belchertown Heights Alf Lp | Assisted Living Facility | 99 Front Street, Belchertown, MA 01007 | 2017-12-06 |
1265962658 | Wincare LLC | Assisted Living Facility | 704 Beaver St, Waltham, MA 02452-5648 | 2017-06-18 |
1811434491 | Aniket Chakrabarti | Assisted Living Facility | 243 Church St Ste E, Pembroke, MA 02359-1962 | 2017-01-20 |
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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.