Timothy Daniels House

LBN: 84 Elm St., Inc.
Timothy Daniels House is an health care organization with primary practice located at 84 Elm St , Holliston MA 01746-2138. 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. 84 Elm St., Inc. can be contacted via phone (508) 429-4566, or through Thisse, Peter H. via phone (781) 762-0703.

Contact Information

Primary practice address
84 Elm St Holliston MA 01746-2138
Phone: (508) 429-4566
Fax: (508) 429-4581
Website:
Map and Directions
Authorized official contact:
Name: Thisse, Peter H.
Phone: (781) 762-0703

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 0374 Massachusetts

Profile Details

NPI number 1639230584
LBN Legal business name 84 Elm St., Inc.
DBA Doing business as Timothy Daniels House
Authorized official Thisse, Peter H.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 13th, 2006
Last updated Dec 16th, 2011 - about 15 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 1639230584 NPPES
Massachusetts MEDICAID 0907022

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