BERTRAM HOUSE OF SWAMPSCOTT
NPI 1205954286
Assisted Living Facility in Salem, MA
About Bertram House Of Swampscott NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BERTRAM HOUSE OF SWAMPSCOTT (NPI 1205954286) is a healthcare organization registered as an assisted living facility in Salem, Massachusetts and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through November 5, 2026 and lists Paula Lancisi, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 22D2199276
John Bertram House · Salem, MAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is John Bertram House Of Swampscott, Inc.'s NPI number?
The NPI number for John Bertram House Of Swampscott, Inc. is 1205954286. It was assigned to this organization in the NPPES registry on March 27, 2007. The provider is doing business as Bertram House Of Swampscott.
Where is John Bertram House Of Swampscott, Inc. located?
John Bertram House Of Swampscott, Inc. is located at 29 Washington Sq, Salem, MA 01970. The listed phone number is (978) 744-1002.
What is John Bertram House Of Swampscott, Inc.'s specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does John Bertram House Of Swampscott, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 22D2199276) is associated with this NPI, valid through November 5, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for John Bertram House Of Swampscott, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Bertram House Of Swampscott · NPI 1205954286
Assisted Living Facility organization in Salem, Massachusetts. Organization record, active in the CMS NPPES registry since March 27, 2007.
## Identity
- **NPI:** 1205954286 (Entity type: Organization)
- **Enumerated:** March 27, 2007
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Legal business name:** John Bertram House Of Swampscott, Inc.
- **Organization subpart:** No
- **Authorized official:** Paula Lancisi, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 29 WASHINGTON SQ, Salem, MA 01970-4014
- **Phone:** (978) 744-1002
## Record status
- **NPPES last updated:** August 22, 2020
- **Other identifiers:** Medicaid 1903764 (MA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1205954286) · Data from the CMS NPPES public registry.