BROOKHOUSE HOME FOR AGED WOMEN (NPI# 1548256886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548256886 |
| Entity Type | Organization |
| Organization Name | BROOKHOUSE HOME FOR AGED WOMEN |
| Practice Address |
180 Derby St Salem MA 01970-5135 |
| Practice Telephone | 9787402493 |
| Practice Fax Number | 9787441516 |
| Mailing Telephone | 9787402493 |
| Mailing Fax Number | 9787441516 |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. SUSAN B SANTOS (REST HOME ADMINISTRATOR) |
| Authorized Official Telephone | 9787402493 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311Z00000X | Custodial Care Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 5501571 | 05 |
| Street Address |
180 DERBY ST |
| City | SALEM |
| State | MA |
| Zip Code | 01970-5135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053939108 | Sara Jane Garofalo | Social Worker | Bil-behavioral Health Esp, 35 Congress Street, Salem, MA 01970 | 2020-07-06 |
| 1326660267 | Leslie Marie Adams | Counselor | 35 Congress St #214, Salem, MA 01970 | 2020-05-14 |
| 1801435870 | Sarah Katherine Bolte | Counselor | 35 Congress St., Bldg. 2 Suite 351a, Salem, MA 01970 | 2019-12-23 |
| 1548814866 | Amy Carlson-pallazola | Counselor | 35 Congress Street Building 2, Suite 351a, Salem, MA 01970 | 2019-07-25 |
| 1932768850 | Alaina Kinsella | Counselor | 70 Boston Street, Unit 109, Salem, MA 01970 | 2019-06-13 |
| 1104384569 | Erica Jean Last | Community Health Worker | 35 Congress Street, Building 2, Suite 150c, Salem, MA 01970 | 2019-03-05 |
| 1467928184 | Jean David Thomas | Nurse Practitioner | Salem Family Health Center, 47 Congress Street, Salem, MA 01970 | 2018-10-20 |
| 1669950267 | Marla P. Meyer | Social Worker | 39 Norman Street, Third Floor, Salem, MA 01970 | 2018-08-06 |
| 1831689009 | Elisa M Castillo | Psychologist | 352 Lafayette Street, Salem, MA 01970 | 2018-05-14 |
| 1073003513 | Ryan Daniel Robichaud-fuentes | Counselor | 1 Salem Green Suite 103, Salem, MA 01970 | 2018-05-10 |
| Find all providers in zip 01970 | ||||
| Taxonomy Code | 311Z00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. |
| Notes: Source: Paraphrased from Section 3159 A3 of the Medicare Intermediary Manual. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437510922 | Oregon Dept. of Corrections | Custodial Care Facility | 2757 22nd St Se, Salem, OR 97302-1553 | 2016-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023588043 | Caregiver Homes of South Dakota Inc | Custodial Care Facility | 120 Saint James Ave Fl 4, Boston, MA 02116-5001 | 2018-12-03 |
| 1225577653 | Oasis At Dodge Park, LLC | Custodial Care Facility | 102 Randolph Rd, Worcester, MA 01606-2465 | 2017-02-17 |
| 1295169977 | Boston Nutrition Care | Custodial Care Facility | 51 Neponset Ave, Dorchester, MA 02122-3321 | 2013-08-29 |
| 1912203217 | Goddard/homestead | Custodial Care Facility | 10 Homestead Avenue, Worcester, MA 01610 | 2011-02-03 |
| 1871817569 | Horn Home for Aged | Custodial Care Facility | 98 Smith St, Lowell, MA 01851-2614 | 2010-03-24 |
| 1114166188 | Oosterman Rest Home Inc. | Custodial Care Facility | 93 Laurel St, Melrose, MA 02176-4044 | 2009-02-13 |
| 1124267299 | Oosterman's Melrose Rest Home Inc. | Custodial Care Facility | 101 Laurel St, Melrose, MA 02176-4044 | 2009-02-13 |
| 1265608236 | Sophia Snow House, Inc. | Custodial Care Facility | 1215 Centre St, West Roxbury, MA 02132-7701 | 2008-04-30 |
| 1851579031 | Ez Home Care | Custodial Care Facility | 85 Alexander St, Dorchester, MA 02125-2727 | 2008-02-09 |
| 1891989000 | Davenport Memorial Foundation | Custodial Care Facility | 70 Salem St, Malden, MA 02148-5208 | 2007-08-30 |
| Find all providers with the same taxonomy | ||||
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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.