Provider Demographics
NPI:1245408459
Name:SHERBURNE COMMONS
Entity Type:Organization
Organization Name:SHERBURNE COMMONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OFFICE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:E
Authorized Official - Last Name:JOYNT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:506-228-4080
Mailing Address - Street 1:40 SHERBURNE CMNS
Mailing Address - Street 2:
Mailing Address - City:NANTUCKET
Mailing Address - State:MA
Mailing Address - Zip Code:02554-4451
Mailing Address - Country:US
Mailing Address - Phone:508-228-4080
Mailing Address - Fax:
Practice Address - Street 1:40 SHERBURNE CMNS
Practice Address - Street 2:
Practice Address - City:NANTUCKET
Practice Address - State:MA
Practice Address - Zip Code:02554-4451
Practice Address - Country:US
Practice Address - Phone:508-228-4080
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-11
Last Update Date:2008-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1906801310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility