South Cove Manor, Inc in Boston - Skilled Nursing Facility
South Cove Manor, Inc - NPI 1407859564
South Cove Manor, Inc is a Skilled Nursing Facility in Boston, Massachusetts. South Cove Manor, Inc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for South Cove Manor, Inc is 1407859564. The last update date is 2014-04-01.
South Cove Manor, Inc's current location address is 120 Shawmut Avenue, Boston, Massachusetts. You can contact this provider via phone number 6174230590 and fax number 6172927922. The mailing address for South Cove Manor, Inc is 120 Shawmut Avenue, Boston, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | South Cove Manor, Inc |
|---|---|
| Address | 120 Shawmut Avenue, Boston, Massachusetts |
| Phone Number | 6174230590 |
| Fax Number | 6172927922 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Wong Richard |
| Telephone Number | 6174230590 |
NPI Number Detail
| NPI Number | 1407859564 |
|---|---|
| Provider Enumeration Date | 2005-05-23 |
| Last Updated Date | 2014-04-01 |
Provider Mailing Address Detail
| Address | 120 Shawmut Avenue |
|---|---|
| City | Boston |
| State | Massachusetts (MA) |
| Post Code | 211822930 |
| Phone Number | 6174230590 |
| Fax Number | 6172927922 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 876 |
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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 |
|---|---|---|---|
| 916056 | MA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to South Cove Manor, Inc by the Centers for Medicare & Medicaid Services?
The South Cove Manor, Inc has been issued the NPI (National Provider Identifier) 1407859564. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where South Cove Manor, Inc is geographically located?
The South Cove Manor, Inc is physically situated at the following location: 120 Shawmut Avenue, Boston, MA, 211822930.
What is South Cove Manor, Inc's area of expertise and its corresponding taxonomy classification?
The South Cove Manor, Inc'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 originally issue the 1407859564 to South Cove Manor, Inc?
The Centers for Medicare & Medicaid Services originally issued the 1407859564 to South Cove Manor, Inc on 2005-05-23.
As of what date was the information regarding South Cove Manor, Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to South Cove Manor, Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-04-01.
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