120 Main Street Operator Llc

LBN: 120 Main Street Operator Llc
120 Main Street Operator Llc is an health care organization with primary practice located at 120 Main St , Malden MA 02148-6904. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. 120 Main Street Operator Llc can be contacted via phone (781) 324-5600, or through Stephan, William Howard via phone (617) 943-7747.

Contact Information

Primary practice address
120 Main St Malden MA 02148-6904
Phone: (781) 324-5600
Fax: (781) 324-7309
Website:
Map and Directions
Authorized official contact:
Name: Stephan, William Howard
Phone: (617) 943-7747

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1558890939
LBN Legal business name 120 Main Street Operator Llc
DBA Doing business as
Authorized official Stephan, William Howard
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 8th, 2017
Last updated Jun 8th, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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