Provider Demographics
NPI:1942296611
Name:BRISCOE LIMITED PARTNERSHIP
Entity Type:Organization
Organization Name:BRISCOE LIMITED PARTNERSHIP
Other - Org Name:LANDMARK AT OCEANVIEW
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KATY
Authorized Official - Middle Name:
Authorized Official - Last Name:AHERN-TAVARES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-927-4227
Mailing Address - Street 1:3 ESSEX ST
Mailing Address - Street 2:
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915-4527
Mailing Address - Country:US
Mailing Address - Phone:978-927-4227
Mailing Address - Fax:978-921-4885
Practice Address - Street 1:3 ESSEX ST
Practice Address - Street 2:
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-4527
Practice Address - Country:US
Practice Address - Phone:978-927-4227
Practice Address - Fax:978-921-4885
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA310400000X, 311500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Not Answered311500000XNursing & Custodial Care FacilitiesAlzheimer Center (Dementia Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1903608OtherMASS HEALTH PROVIDER #