EMERITUS AT TEWKSBURY
NPI 1245360163
Assisted Living Facility in Tewksbury, MA

NPI Status: Active since March 07, 2007

Contact Information

2580 MAIN ST
TEWKSBURY, MA
ZIP 01876
Phone: (978) 657-0800
Fax: (978) 657-8087

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  • Organization
  • Assisted Living Facility

About EMERITUS AT TEWKSBURY

This page provides the complete NPI Profile along with additional information for Emeritus At Tewksbury, a provider established in Tewksbury, Massachusetts operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1245360163 assigned on March 2007. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Emeritus At Tewksbury. The authorized official of this NPI record is Mark Ohlendorf (President/ceo)

NPI
1245360163
Provider Legal Name
EMERITUS CORPORATION
Other Organization Name
EMERITUS AT TEWKSBURY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2580 MAIN ST TEWKSBURY, MA 01876
Location Phone
(978) 657-0800
Location Fax
(978) 657-8087
Mailing Address
6737 W WASHINGTON ST SUITE 2300 MILWAUKEE, WI 53214
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-07-2007
Last Update Date
02-18-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1311500000XNursing & Custodial Care Facilities

Alzheimer Center (Dementia Center)

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MARK OHLENDORF

Authorized Official Title
PRESIDENT/CEO
Authorized Official Phone
(414) 918-5403

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
11032739 CMEDICAID (05)MA 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1245360163
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2285660112
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 8 + 5 + 6 + 6 + 0 + 1 + 1 + 2 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1245360163 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1861863177 REBECCA GALLAGHER PT
Individual
Physical Therapist2580 MAIN ST
TEWKSBURY, MA 01876
(877) 407-3422
1356792493 KATHLEEN CARPENTER OT
Individual
Occupational Therapist2580 MAIN ST
TEWKSBURY, MA 01876
(877) 407-3422
1043690589DR. JARED WYDYSH D.P.T.
Individual
Physical Therapist2580 MAIN ST
TEWKSBURY, MA 01876
(315) 749-8037
1063077188TEWKSBURY LIVING GROUP, LLC
Organization
Alzheimer Center (Dementia Center)2580 MAIN ST
TEWKSBURY, MA 01876
(978) 657-0800

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245360163, enumerated in the NPI registry as an "organization" on March 07, 2007

The provider is located at 2580 Main St Tewksbury, Ma 01876 and the phone number is (978) 657-0800

This medical organization specializes in Assisted Living Facility with taxonomy code 310400000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on March 07, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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