MEDICARE: WEYMOUTH ASSISTED LIVING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility		MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1962472274
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WEYMOUTH ASSISTED LIVING

Provider Business Mailing Address
First Line	:	43 SCHOOL HOUSE ROAD
Second Line	:
City	:	WEYMOUTH
State	:	MA
Zip	:	02188
Country	:	US
Telephone Number	:	781-335-8666
Fax Number	:	781-335-7666

Provider Business Practice Location Address
First Line	:	43 SCHOOL HOUSE RD
Second Line	:
City	:	WEYMOUTH
State	:	MA
Zip	:	02188-4142
Country	:	US
Telephone Number	:	781-335-8666
Fax Number	:	781-335-7666

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MR. PAUL CASALE JR.
Credential	:
Telephone Number	:	781-335-8666

Provider Enumeration Date	:	01/26/2006
Last Update Date	:	08/22/2020

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Directions to “WEYMOUTH ASSISTED LIVING ” Practice Location

Language	Start Address	Practice Location

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