Lighthouse Of Revere, Inc. in Revere - Skilled Nursing Facility
Lighthouse Of Revere, Inc. - NPI 1699772376
Lighthouse Of Revere, Inc. is a Skilled Nursing Facility in Revere, Massachusetts. Lighthouse Of Revere, Inc. practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Lighthouse Of Revere, Inc. is 1699772376. The last update date is 2008-07-24.
Lighthouse Of Revere, Inc.'s current location address is 204 Proctor Ave, Revere, Massachusetts. You can contact this provider via phone number 7812863100 and fax number 7812864109. The mailing address for Lighthouse Of Revere, Inc. is 204 Proctor Ave, Revere, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lighthouse Of Revere, Inc. |
|---|---|
| Address | 204 Proctor Ave, Revere, Massachusetts |
| Phone Number | 7812863100 |
| Fax Number | 7812864109 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Marks E Roger |
| Telephone Number | 7812863100 |
NPI Number Detail
| NPI Number | 1699772376 |
|---|---|
| Provider Enumeration Date | 2005-07-07 |
| Last Updated Date | 2008-07-24 |
Provider Mailing Address Detail
| Address | 204 Proctor Ave |
|---|---|
| City | Revere |
| State | Massachusetts (MA) |
| Post Code | 21514923 |
| Phone Number | 7812863100 |
| Fax Number | 7812864109 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 880 |
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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 |
|---|---|---|---|
| 922226 | MA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Lighthouse Of Revere, Inc. by the Centers for Medicare & Medicaid Services?
The Lighthouse Of Revere, Inc. has been assigned the NPI (National Provider Identifier) 1699772376 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 Lighthouse Of Revere, Inc.'s facilities are geographically located?
The facilities of Lighthouse Of Revere, Inc. are physically situated at the following location: 204 Proctor Ave, Revere, MA, 21514923.
What is the area of specialization for Lighthouse Of Revere, Inc., and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Lighthouse Of Revere, Inc. is Skilled Nursing Facility, and the corresponding taxonomy code that categorizes this area of expertise is 314000000X.
When did Lighthouse Of Revere, Inc. receive its 1699772376 assignment?
The Lighthouse Of Revere, Inc. was assigned its 1699772376 on 2005-07-07, which is the date when this unique identifier was issued to the organization.
As of what date were the Lighthouse Of Revere, Inc.'s details last updated?
The information pertaining to the Lighthouse Of Revere, Inc., including its address, specialty, and other details, was most recently updated on 2008-07-24.