Provider Demographics
NPI:1609083062
Name:ELIZABETH CALSEY HOUSE
Entity Type:Organization
Organization Name:ELIZABETH CALSEY HOUSE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:A
Authorized Official - Last Name:DASTOLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-388-0293
Mailing Address - Street 1:15 ELIZABETH ST
Mailing Address - Street 2:
Mailing Address - City:AMESBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01913-5410
Mailing Address - Country:US
Mailing Address - Phone:978-388-0293
Mailing Address - Fax:978-388-5308
Practice Address - Street 1:15 ELIZABETH ST
Practice Address - Street 2:
Practice Address - City:AMESBURY
Practice Address - State:MA
Practice Address - Zip Code:01913-5410
Practice Address - Country:US
Practice Address - Phone:978-388-0293
Practice Address - Fax:978-388-5308
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1905309Medicaid