200 Governors Opco Llc

LBN: 200 Governors Opco Llc
200 Governors Opco Llc is an health care organization with primary practice located at 200 Governors Ave , Medford MA 02155-1644. 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. 200 Governors Opco Llc can be contacted via phone (781) 391-5400, or through Mirlis, Eliyahu via phone (732) 961-8491.

Contact Information

Primary practice address
200 Governors Ave Medford MA 02155-1644
Phone: (781) 391-5400
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mirlis, Eliyahu
Phone: (732) 961-8491

Health care specialties

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

Profile Details

NPI number 1053178582
LBN Legal business name 200 Governors Opco Llc
DBA Doing business as
Authorized official Mirlis, Eliyahu
Entity Organization
Organization subpart 1 No
Enumeration date Mar 1st, 2024
Last updated Mar 1st, 2024 - 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.

Request for update

Popular Providers