2000 EMERALD COURT LLC NPI 1639615099

NPI Information

  • NPI: 1639615099
  • Provider Name: 2000 EMERALD COURT LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: BAYBERRY AT EMERALD COURT
  • Address: 2000 EMERALD CT
    TEWKSBURY, MA
    ZIP 01876
  • Phone: (978) 640-0194

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NPI Details

2000 EMERALD COURT LLC is an assisted living facility in Tewksbury, MA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. 2000 EMERALD COURT LLC NPI is 1639615099. The provider is registered as an organization entity type.
The provider Is Doing Business As Bayberry At Emerald Court.

The provider's business location address is:

2000 EMERALD CT
TEWKSBURY, MA
ZIP 01876-220
Phone: (978) 640-0194

The provider's authorized official is Shawn Bertram .
The authorized official title is Vp Of Operations and has the following contact phone number (508) 404-3534.

The enumeration date for this NPI number is 1/10/2017 and was last updated on 1/10/2017.

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
1310400000XAssisted Living FacilityMASSACHUSETTSYes

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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