Healthcare Provider Details

I. General information

NPI: 1487594925
Provider Name (Legal Business Name): THE MANSION AT BRIGHAM LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2026
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

77 HIGH ST
NEWBURYPORT MA
01950-3071
US

IV. Provider business mailing address

265 E MERRICK RD STE 205
VALLEY STREAM NY
11580-6004
US

V. Phone/Fax

Practice location:
  • Phone: 978-462-4221
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: NATHAN APFELBAUM
Title or Position: AUTHORIZED SIGNOR
Credential:
Phone: 631-292-1250