Healthcare Provider Details

I. General information

NPI: 1871583518
Provider Name (Legal Business Name): ADMIRAL'S HILL ASSISTED LIVING, L.P.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 CAPTAINS ROW
CHELSEA MA
02150-4068
US

IV. Provider business mailing address

17 LAFAYETTE AVE
CHELSEA MA
02150-2010
US

V. Phone/Fax

Practice location:
  • Phone: 617-889-8740
  • Fax: 617-889-8745
Mailing address:
  • Phone: 617-884-6766
  • Fax: 617-889-6176

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number StateMA

VIII. Authorized Official

Name: MR. BARRY S. BERMAN
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 617-884-6766