Peabody Healthcare Center

LBN: 199 Andover Street Operating Company, Llc
Peabody Healthcare Center is an health care organization with primary practice located at 199 Andover Street Route 114W , Peabody MA 01960. 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. 199 Andover Street Operating Company, Llc can be contacted via phone (978) 531-0772, or through Vazquez, Emily via phone (978) 930-6051.

Contact Information

Primary practice address
199 Andover Street Route 114W Peabody MA 01960
Phone: (978) 531-0772
Fax: (978) 532-4134
Website:
Map and Directions
Authorized official contact:
Name: Vazquez, Emily
Phone: (978) 930-6051

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 0900 Massachusetts

Profile Details

NPI number 1770581555
LBN Legal business name 199 Andover Street Operating Company, Llc
DBA Doing business as Peabody Healthcare Center
Authorized official Vazquez, Emily
Entity Organization
Organization subpart 1 No
Enumeration date Jul 14th, 2005
Last updated Dec 15th, 2023 - about 2 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 1770581555 NPPES
Massachusetts MEDICAID 0926825

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