Royal Fairhaven Nursing & Rehab

LBN: 184 Main Llc
Royal Fairhaven Nursing & Rehab is an health care organization with primary practice located at 184 Main Street , Fairhaven MA 02719. 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. 184 Main Llc can be contacted via phone (508) 997-3193, or through Reid, Paula via phone (508) 743-8159.

Contact Information

Primary practice address
184 Main Street Fairhaven MA 02719
Phone: (508) 997-3193
Fax: (508) 991-5615
Website:
Map and Directions
Authorized official contact:
Name: Reid, Paula
Phone: (508) 743-8159

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 0646 Massachusetts
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1902817299
LBN Legal business name 184 Main Llc
DBA Doing business as Royal Fairhaven Nursing & Rehab
Authorized official Reid, Paula
Entity Organization
Organization subpart 1 No
Enumeration date Aug 11th, 2006
Last updated Oct 28th, 2013 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1902817299 NPPES
Massachusetts Other 5457520 AETNA
Massachusetts Other 001391 AETNA
Massachusetts MEDICAID 0940119 AETNA
Massachusetts Other 991098 AETNA

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