8 BUTLER ST. INC. NPI 1164583589

NPI Information

  • NPI: 1164583589
  • Provider Name: 8 BUTLER ST., INC.
  • Classification: Skilled Nursing Facility - 314000000X
  • Entity Type: Organization
  • Doing Business As: BLACKSTONE NURSING HOME
  • CLIA Number: 22D2201441
  • Address: 8 BUTLER ST
    BLACKSTONE, MA
    ZIP 01504
  • Phone: (508) 883-5818

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NPI Details

8 BUTLER ST., INC. is a skilled nursing facility in Blackstone, MA. The provider is (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. 8 BUTLER ST., INC. NPI is 1164583589. The provider is registered as an organization entity type.
The provider Is Doing Business As Blackstone Nursing Home.

The provider's business location address is:

8 BUTLER ST
BLACKSTONE, MA
ZIP 01504-541
Phone: (508) 883-5818
Fax: (508) 883-5819

The provider's authorized official is Peter H. Thisse .
The authorized official title is Controller and has the following contact phone number (781) 762-0703.

The CLIA number assigned to this NPI record is 22D2201441 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/12/2006 and was last updated on 12/16/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1314000000XSkilled Nursing Facility0145MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1225725MEDICARE OSCAR/CERTIFICATIONMASSACHUSETTS
20915548MEDICAIDMASSACHUSETTS
30692820001OTHERMASSACHUSETTSMEDICARE NSC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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