DYOUVILLE TRANSITIONAL CARE INC (NPI# 1033486394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033486394 |
| Entity Type | Organization |
| Organization Name | DYOUVILLE TRANSITIONAL CARE INC |
| Practice Address |
1071 Varnum Ave Lowell MA 01854-1913 |
| Mailing Address |
981 Varnum Ave Lowell MA 01854-1913 |
| Practice Telephone | 9785691071 |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2011-11-30 |
| Authorized Official Name | NAOMI PRENDERGAST (CHEIF ECONOMIC OFFICER) |
| Authorized Official Telephone | 9785691000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Street Address |
1071 VARNUM AVE |
| City | LOWELL |
| State | MA |
| Zip Code | 01854-1913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023643368 | Talia Yocheved Lusterman | Occupational Therapist | 1071 Varnum Ave, Lowell, MA 01854-1131 | 2020-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780224246 | Alexander C Mellin | Specialist/Technologist | Costello Athletic Center, 275 Riverside Street, Lowell, MA 01854 | 2020-01-13 |
| 1831656131 | Shaquilla U Terry | Behavior Technician | 810 Broadway St, Apt 5, Lowell, MA 01854 | 2019-02-23 |
| 1073010187 | John R Dunn | Counselor | Lowell House Inc, 555 Merrimack Street, Lowell, MA 01854 | 2018-04-06 |
| 1730604661 | Grecia Aybar | Counselor | 11 White Street, Lowell, MA 01854 | 2017-08-11 |
| 1659812550 | Krystal Demmons | Counselor | 371 Varnum Ave, Lowell, MA 01854 | 2017-03-13 |
| 1891115366 | Stacey Bourbeau | Counselor | 391 Varnum Avenue Lower Level, Lowell, MA 01854 | 2014-04-23 |
| 1013270446 | Alexandra Miniati | Internal Medicine | 275 Varnum Ave Riverside Medical Group, Ste 201, Lowell, MA 01854 | 2012-06-20 |
| 1750608923 | Elisha S Bartlett | Social Worker | 391 Varnum Avenue, Lowell, MA 01854 | 2010-04-28 |
| 1871820399 | Sandy Ann Thongkhamsouk | Counselor | 391 Varnum St., Lowell, MA 01854 | 2009-11-04 |
| 1427299007 | Kristin A. Larson | Nurse Practitioner | 220 Pawtucket St Suite 300, University Crossing, Lowell, MA 01854 | 2009-03-12 |
| Find all providers in zip 01854 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952726663 | Hancock Regional Hospital | Skilled Nursing Facility | 18275 S Burr St, Lowell, IN 46356-0020 | 2014-03-04 |
| 1235298514 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 710 Michigan Ave, Lowell, IN 46356 | 2006-12-06 |
| 1588690366 | Town & Country Nursing Center | Skilled Nursing Facility | 259 Baldwin St, Lowell, MA 01851-2211 | 2006-06-24 |
| 1760426282 | Northwood Ma Snf LLC | Skilled Nursing Facility | 1010 Varnum Avenue, Lowell, MA 01854 | 2006-06-15 |
| 1114960515 | Willow Manor Nursing Home, Inc. | Skilled Nursing Facility | 30 Princeton Blvd, Lowell, MA 01851-2405 | 2006-06-14 |
| 1487692927 | Asl, Inc. | Skilled Nursing Facility | 841 Merrimack St, Lowell, MA 01854-3500 | 2006-06-04 |
| 1639124308 | Laurel Health Care Company of Lowell | Skilled Nursing Facility | 350 N Center St, Lowell, MI 49331-1212 | 2006-05-23 |
| 1720037468 | Senior Residential Care/lowell, Inc. | Skilled Nursing Facility | 500 Wentworth Ave, Lowell, MA 01852-4937 | 2006-05-09 |
| 1538159785 | 19 Varnum Street Operating Co,llc | Skilled Nursing Facility | 19 Varnum St, Lowell, MA 01850-2132 | 2005-10-27 |
| 1639166721 | Fairhaven Nursing | Skilled Nursing Facility | 476 Varnum Ave, Lowell, MA 01854-2122 | 2005-10-04 |
| Find all providers in LOWELL | ||||
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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.