2000 EMERALD COURT LLC (NPI# 1639615099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639615099 |
| Entity Type | Organization |
| Organization Name | 2000 EMERALD COURT LLC |
| Other Organization Name | BAYBERRY AT EMERALD COURT |
| Practice Address |
2000 Emerald Ct Tewksbury MA 01876-5220 |
| Practice Telephone | 9786400194 |
| Enumeration Date | 2017-01-10 |
| Last Update Date | 2017-01-10 |
| Authorized Official Name | SHAWN BERTRAM (VP OF OPERATIONS) |
| Authorized Official Telephone | 5084043534 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | MA | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Bayberry at Emerald Court | Doing Business As Name - Organization |
| Street Address |
2000 EMERALD CT |
| City | TEWKSBURY |
| State | MA |
| Zip Code | 01876-5220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053533224 | Tewksbury Assisted Living, LLC | Assisted Living Facility | 2000 Emerald Ct, Tewksbury, MA 01876-5220 | 2007-05-03 |
| 1710344924 | Genesis Eldercare Rehabilitation Services LLC | Physical Therapist | 2000 Emerald Ct, C/o Bayberry At Emerald Court, Tewksbury, MA 01876-5220 | 2016-01-19 |
| 1659691582 | Ntal Property, LLC | Assisted Living Facility | 2000 Emerald Ct, Tewksbury, MA 01876-5220 | 2010-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114224672 | Make It Easy Medical Devices | Durable Medical Equipment & Medical Supplies | 410 Woburn Street, Tewksbury, Tewksbury, MA 01876 | 2011-02-18 |
| 1538329883 | Donna M Schneider | Mechanotherapist | 1 Dundee Park, Suites 1 & 2, Andover, MA 01876 | 2008-06-11 |
| 1417139700 | David Anthony Tortorella | Internal Medicine | 170 Main St Units G4-g8, Tewksbury, MA 01876 | 2007-11-29 |
| 1801086434 | Yvonne Marie Canuel | Long Term Care Hospital | 265 East Street, Tewksbury, MA 01876 | 2007-07-30 |
| 1851511661 | Sandra Lee Proulx | Licensed Practical Nurse | 10 Arnold Rd, Tewksbury, MA 01876 | 2007-04-26 |
| 1710004320 | Department of Mental Health | Community Based Residential Treatment Facility, Mental Illness | Tewksbury State Hosp Special Bldg - Merrimack Ctr Birtp, 365 East St, Tewksbury, MA 01876 | 2007-03-26 |
| 1316002884 | Robert A Karr | Psychiatry & Neurology | North East Area Office, Tewksbury, MA 01876 | 2006-12-26 |
| 1659448769 | Barbara P Goldsher | Social Worker | 40 Chivas Circle, Tewksbury, MA 01876 | 2006-11-30 |
| 1457423154 | Boutselis Family Dental Care PC | Dentist | 381r Main Street, Tewksbury, MA 01876 | 2006-11-15 |
| 1477623189 | Commonwealth of Massachusetts Office for Pharmacy Services | Pharmacy | 369 East St, Tewksbury, MA 01876 | 2006-11-09 |
| Find all providers in zip 01876 | ||||
| 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 |
|---|---|---|---|---|
| 1184284705 | Erlin Manor Assisted Living, Inc. | Assisted Living Facility | 10b Erlin Ter, Tewksbury, MA 01876-2685 | 2019-06-17 |
| 1720496318 | Peregrine Senior Living of Tewksbury, LLC | Assisted Living Facility | 1009 Main St # 2850, Tewksbury, MA 01876-4737 | 2014-07-26 |
| 1053533224 | Tewksbury Assisted Living, LLC | Assisted Living Facility | 2000 Emerald Ct, Tewksbury, MA 01876-5220 | 2007-05-03 |
| 1659691582 | Ntal Property, LLC | Assisted Living Facility | 2000 Emerald Ct, Tewksbury, MA 01876-5220 | 2010-06-02 |
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|---|---|---|---|---|
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| 1811465974 | Shi-iii Wrentham LLC | Assisted Living Facility | 30 Ledgeview Way, Attn: Executive Director Or Dba, Wrentham, MA 02093 | 2018-11-07 |
| 1023516465 | D'youville Leadership Solutions | Assisted Living Facility | 1085 Varnum Ave, Lowell, MA 01854-1133 | 2018-01-31 |
| 1457868622 | B-x Worcester LLC | Assisted Living Facility | 340 May St, Worcester, MA 01602-1800 | 2018-01-09 |
| 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 |
| 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.