184 Main Llc in Fairhaven - Skilled Nursing Facility
184 Main Llc - NPI 1902817299
184 Main Llc is a Skilled Nursing Facility in Fairhaven, Massachusetts. 184 Main Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for 184 Main Llc is 1902817299. The last update date is 2013-10-28.
184 Main Llc's current location address is 184 Main Street, Fairhaven, Massachusetts. You can contact this provider via phone number 5089973193 and fax number 5089915615. The mailing address for 184 Main Llc is 184 Main Street, Fairhaven, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | 184 Main Llc |
|---|---|
| Address | 184 Main Street, Fairhaven, Massachusetts |
| Phone Number | 5089973193 |
| Fax Number | 5089915615 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CONTROLLER |
|---|---|
| Authorized Official Name | Reid Paula |
| Telephone Number | 5087438159 |
NPI Number Detail
| NPI Number | 1902817299 |
|---|---|
| Provider Enumeration Date | 2006-08-11 |
| Last Updated Date | 2013-10-28 |
Provider Mailing Address Detail
| Address | 184 Main Street |
|---|---|
| City | Fairhaven |
| State | Massachusetts (MA) |
| Post Code | 2719 |
| Phone Number | 5089973193 |
| Fax Number | 5089915615 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 646 |
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Definition: (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 serv |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5457520 | MA | AETNA | |
| 1391 | MA | SENIOR WHOLE HEALTH | |
| 940119 | MA | -- | |
| 991098 | MA | UNITED HEALTH CARE |
Post Comment/ Review Below
What is the 184 Main Llc's 1902817299?
The 184 Main Llc's NPI (National Provider Identifier) Number is 1902817299. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of 184 Main Llc?
The 184 Main Llc is situated at 184 Main Street, in the city of Fairhaven, state of MA, with the zip code 2719.
What is 184 Main Llc's area of expertise and its corresponding taxonomy classification?
The 184 Main Llc's field of specialization is Skilled Nursing Facility, and it falls under the taxonomy code 314000000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1902817299 to 184 Main Llc?
The 184 Main Llc received its 1902817299 assignment from the Centers for Medicare & Medicaid Services on 2006-08-11.
When was the information pertaining to 184 Main Llc most recently updated or revised?
The details related to 184 Main Llc, including its address, specialty, and other relevant information, were last updated or revised on 2013-10-28.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY