CONGENIAL HEALTHCARE, LLC


Address: 255 Grapevine Rd, Wenham, MA 01984
Phone: 9785360215

CONGENIAL HEALTHCARE, LLC (NPI# 1972155422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972155422
Entity Type Organization
Organization Name CONGENIAL HEALTHCARE, LLC
Other Organization Name GORDON COLLEGE HEALTH CENTER
Practice Address 255 Grapevine Rd
Wenham
MA 01984
Mailing Address 1 Roosevelt Ave
Peabody
MA 01960-2200
Practice Telephone 9785360215
Practice Fax Number 9785360230
Mailing Telephone 9785360215
Mailing Fax Number 9785360230
Enumeration Date 2019-07-15
Last Update Date 2019-07-17
Authorized Official Name LISA MARIE ENDERLE (ENROLLMENT MANAGER)
Authorized Official Telephone 9787121681
Is Organization Subpart Y
Parent Organization Name CONGENIAL HEALTHCARE, LLC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QS1000X Clinic/Center
Specialization: Student Health
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Gordon College Health Center Doing Business As Name - Organization

Other Provider IDs and Locations

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
1659830818 Congenial Healthcare, LLC Clinical Medical Laboratory 147 S Main St, Middleton, MA 01949-2446 2019-03-18
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

Office Location

Street Address 255 GRAPEVINE RD
City WENHAM
State MA
Zip Code 01984

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033108584 Marie Lucey Physical Therapist 255 Grapevine Rd, Wenham, MA 01984 2005-10-18
1396350492 Rachel Ryder Physical Therapist 255 Grapevine Rd, Wenham, MA 01984-1813 2020-09-15
1740891126 Luke Harmeling Physical Therapist 255 Grapevine Rd, Wenham, MA 01984-1813 2020-08-11
1881217800 Meredith Conroy Physical Therapist 255 Grapevine Rd, Wenham, MA 01984-1813 2020-05-26
1992340962 Stephanie Kalanta Physical Therapist 255 Grapevine Rd, Wenham, MA 01984-1813 2019-11-13
1467093633 Rachel Nelson Physical Therapist 255 Grapevine Rd, Wenham, MA 01984-1813 2019-09-30
1164904744 Deana Trefry Social Worker 255 Grapevine Rd, Wenham, MA 01984 2018-08-30
1881113090 Kevin Kinnard Physical Therapist 255 Grapevine Rd, Wenham, MA 01984-1813 2017-09-19
1881133478 Sarah Collins Physical Therapist 255 Grapevine Rd, Wenham, MA 01984-1813 2017-02-16
1598203465 Javier Ricrado Salcido Negrete Counselor 255 Grapevine Rd, Wenham, MA 01984-1813 2017-02-10
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497880041 Gail P Borgman Social Worker Gordon College, Grapevine Rd, Wenham, MA 01984 2007-02-23
1043374788 Phyllis Brooks Social Worker 225 Main Street, Wenham, MA 01984 2006-12-20
1184709784 Amy K Hubbard Counselor 152r Main Street, Wenham, MA 01984 2006-10-25
1962426072 Cathy Goldstein Mullin Social Worker 48 Cherry Street, Wenham, MA 01984 2006-07-26
1912094202 Donald Deblock Psychologist 135 Main Street, Wenham, MA 01984 2006-10-06
1013083443 Eric Wilson Bowman Counselor 11 Longfellow Rd, Wenham, MA 01984-1329 2006-11-28
1548806672 Adrienne Dooley Speech-Language Pathologist 5 South St, Wenham, MA 01984-1331 2019-11-25
1205458411 Amy Kolano Nurse Practitioner 4 Bruce Ln, Wenham, MA 01984-1404 2020-05-11
1952813354 Alexandra Bliss Colarusso Physician Assistant 14 Juniper St, Wenham, MA 01984-1414 2017-10-26
1679832273 Victoria Leigh Varney Specialist 162 Main St, Wenham, MA 01984-1415 2012-05-16
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Taxonomy Information

Taxonomy Code 261QS1000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Student Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1841766540 Dorothy Prince Clinic/Center 182 Water St, Pembroke, MA 02359-1957 2018-10-19
1821449950 Curry College Clinic/Center 1016 Brush Hill Rd, Milton, MA 02186-1218 2016-06-30
1902267602 New England Conservatory Clinic/Center 241 Saint Botolph St Rm 112, Boston, MA 02115-4918 2016-03-09
1902114564 Danielle Smith Clinic/Center 153 Sherbert Rd, Ashburnham, MA 01430-1014 2010-09-16
1841353158 Wpi Health Services Clinic/Center 100 Institute Road, Wpi Health Services, Worcester, MA 01609-2247 2006-12-18
1598391633 Babson College Clinic/Center 231 Forest St, Wellness Center, Babson Park, MA 02457 2020-03-20
1669007456 Nathanaelle Onyinyechi Ibeziako Clinic/Center 145 Harrison Ave, Boston, MA 02111-1802 2020-03-11
1548825920 Maria Magdalena Wilson Clinic/Center 340 Main St Ste 818, Worcester, MA 01608-1604 2019-05-01
1912407875 Sarah M Blood Clinic/Center 282 Farmers Row, Groton, MA 01450-1848 2018-02-17
1538671920 Catharine Marie Paiva Clinic/Center 1 Grant St, Framingham, MA 01702-6764 2017-10-25
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Competitor

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City WENHAM
Zip Code 01984

Improve Information

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Dataset Information

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.

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