CONGENIAL HEALTHCARE, LLC (NPI# 1659830818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659830818 |
| Entity Type | Organization |
| Organization Name | CONGENIAL HEALTHCARE, LLC |
| Other Organization Name | CONGENIAL HEALTHCARE LAB |
| Practice Address |
147 S Main St Middleton MA 01949-2446 |
| Mailing Address |
1 Roosevelt Ave Peabody MA 01960-2200 |
| Practice Telephone | 9788807083 |
| Practice Fax Number | 9788807193 |
| Mailing Telephone | 9785360215 |
| Mailing Fax Number | 9785360230 |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2019-03-18 |
| Authorized Official Name | LISA MARIE ENDERLE (ENROLLMENT MANAGER) |
| Authorized Official Telephone | 9787121681 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Other Name | Type Code |
|---|---|
| Congenial Healthcare Lab | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285145441 | Congenial Healthcare, LLC | Internal Medicine | 2 1st Ave Ste 215, Peabody, MA 01960-4962 | 2017-10-16 |
| 1033620372 | Congenial Healthcare, LLC | Internal Medicine | 1 Walton St, Wakefield, MA 01880-1209 | 2017-10-13 |
| 1558872895 | Congenial Healthcare, LLC | Family Medicine | 330 Lynnway Ste 190a, Lynn, MA 01901-1706 | 2017-10-13 |
| 1730608720 | Congenial Healthcare, LLC | Internal Medicine | 1 Roosevelt Ave Ste 201, Peabody, MA 01960-2227 | 2017-09-12 |
| 1972155422 | Congenial Healthcare, LLC | Clinic/Center | 255 Grapevine Rd, Wenham, MA 01984 | 2019-07-15 |
| 1790241735 | Congenial Healthcare, LLC | Internal Medicine | 1 Roosevelt Ave Ste 201, Peabody, MA 01960-2227 | 2019-02-14 |
| 1124539382 | Congenial Healthcare, LLC | Family Medicine | 1 Roosevelt Ave Ste 201, Peabody, MA 01960-2227 | 2017-10-16 |
| 1063923399 | Congenial Healthcare, LLC | Family Medicine | 147 S Main St, Middleton, MA 01949-2446 | 2017-10-13 |
| 1407367741 | Congenial Healthcare, LLC | Internal Medicine | 3 Post Office Sq, Lynnfield, MA 01940-2218 | 2017-10-13 |
| Street Address |
147 S MAIN ST |
| City | MIDDLETON |
| State | MA |
| Zip Code | 01949-2446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043718893 | Cindy Laporte-unni | Nurse Practitioner | 147 S Main St, Middleton, MA 01949-2446 | 2018-01-26 |
| 1063923399 | Congenial Healthcare, LLC | Family Medicine | 147 S Main St, Middleton, MA 01949-2446 | 2017-10-13 |
| 1417477399 | Michael David Hill | Physician Assistant | 147 S Main St, Middleton, MA 01949-2446 | 2017-06-22 |
| 1538606447 | Andrea Satterwhite | Nurse Practitioner | 147 S Main St, Middleton, MA 01949-2446 | 2017-01-30 |
| 1740733880 | Breanna Lucci | Counselor | 147 S Main St, Middleton, MA 01949-2446 | 2016-07-25 |
| 1639547656 | Melissa Murdoch | Nurse Practitioner | 147 S Main St, Middleton Family Medicine, Middleton, MA 01949-2446 | 2015-09-08 |
| 1033506878 | Nell Winchell Divincenzo | Registered Nurse | 147 S Main St, Middleton, MA 01949-2446 | 2015-04-20 |
| 1902215106 | Middleton Family Medicine Urgent Care, LLC | Clinic/Center | 147 S Main St, Middleton, MA 01949-2446 | 2014-08-13 |
| 1003164773 | Brittany Zolotas | Nurse Practitioner | 147 S Main St, Middleton, MA 01949-2446 | 2012-08-28 |
| 1053693200 | Sports Medicine North Orthopaedic Surgery, Inc | Specialist | 147 S Main St, Middleton, MA 01949-2446 | 2011-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225680671 | Corrections - Comprehensive Treatment Centers, LLC | Clinic/Center | 20 Manning Rd., Middleton, MA 01949 | 2019-07-15 |
| 1417403742 | Sports Rehabilitation Unlimited, LLC | Physical Therapist | 15 Manning Avenue, Middleton, MA 01949 | 2016-08-28 |
| 1952684714 | Susan L Vokey | Pharmacist | 135 South Main St, Middleton, MA 01949 | 2011-09-27 |
| 1306078472 | Papaiah Gopal | Specialist | 6 Maplewood Rd., Middleton, MA 01949 | 2009-08-21 |
| 1093983769 | Town of Middleton | Public Health or Welfare | 195 North Main Street, Middleton, MA 01949 | 2008-02-15 |
| 1881818110 | Margaret A. O'callaghan | Nurse Practitioner | Dys Ne Health Services, 33 Gregory Street, Middleton, MA 01949 | 2007-04-11 |
| 1174650733 | Masayuki Hamazaki | Acupuncturist | Japanese Acupuncture Clinic, 2 Central Street - #201, Middleton, MA 01949 | 2007-02-28 |
| 1033144084 | Dominica Catherine Costello | Internal Medicine | 147 S. Main Street, Middleton, MA 01949 | 2006-07-11 |
| 1689937369 | Valerie L Bamford | Counselor | 1 Central St, Suite 203, Middleton, MA 01949 | 2012-06-19 |
| 1649553900 | Erin E Smith | Pharmacist | 135 South Main Street, Middleton, MA 01949 | 2011-09-23 |
| Find all providers in zip 01949 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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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.