199 Andover Street Operating Company, Llc in Peabody - Skilled Nursing Facility
199 Andover Street Operating Company, Llc - NPI 1770581555
199 Andover Street Operating Company, Llc is a Skilled Nursing Facility in Peabody, Massachusetts. 199 Andover Street Operating Company, Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for 199 Andover Street Operating Company, Llc is 1770581555. The last update date is 2015-08-13.
199 Andover Street Operating Company, Llc's current location address is 199 Andover Street Route 114w, Peabody, Massachusetts. You can contact this provider via phone number 9785310772 and fax number 9785324134. The mailing address for 199 Andover Street Operating Company, Llc is 199 Andover Street Route 114w, Peabody, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | 199 Andover Street Operating Company, Llc |
|---|---|
| Address | 199 Andover Street Route 114w, Peabody, Massachusetts |
| Phone Number | 9785310772 |
| Fax Number | 9785324134 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Lugo Alberto A. |
| Telephone Number | 2012424000 |
NPI Number Detail
| NPI Number | 1770581555 |
|---|---|
| Provider Enumeration Date | 2005-07-14 |
| Last Updated Date | 2015-08-13 |
Provider Mailing Address Detail
| Address | 199 Andover Street Route 114w |
|---|---|
| City | Peabody |
| State | Massachusetts (MA) |
| Post Code | 1960 |
| Phone Number | 9785310772 |
| Fax Number | 9785324134 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 900 |
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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 |
|---|---|---|---|
| 926825 | MA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to 199 Andover Street Operating Company, Llc by the Centers for Medicare & Medicaid Services?
The 199 Andover Street Operating Company, Llc has been assigned the NPI (National Provider Identifier) 1770581555 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where 199 Andover Street Operating Company, Llc's facilities are geographically located?
The facilities of 199 Andover Street Operating Company, Llc are physically situated at the following location: 199 Andover Street Route 114W, Peabody, MA, 1960.
What is 199 Andover Street Operating Company, Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for 199 Andover Street Operating Company, Llc is Skilled Nursing Facility, and the taxonomy classification code that categorizes this area of expertise is 314000000X.
When did 199 Andover Street Operating Company, Llc receive its 1770581555 assignment?
The 199 Andover Street Operating Company, Llc was assigned its 1770581555 on 2005-07-14, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to 199 Andover Street Operating Company, Llc most recently updated or revised?
The details related to 199 Andover Street Operating Company, Llc, including its address, specialty, and other relevant information, were last updated or revised on 2015-08-13.
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