Beaumont Whitney Place Northborough, Llc

LBN: Beaumont Whitney Place Northborough
Beaumont Whitney Place Northborough, Llc is an health care organization with primary practice located at 238 W Main St , Northborough MA 01532-1804. 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. Beaumont Whitney Place Northborough can be contacted via phone (508) 393-2368, or through Sacon, Gary via phone (508) 898-3490.

Contact Information

Primary practice address
238 W Main St Northborough MA 01532-1804
Phone: (508) 393-2368
Fax: (508) 393-3870
Website:
Map and Directions
Authorized official contact:
Name: Sacon, Gary
Phone: (508) 898-3490

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 0041 Massachusetts

Profile Details

NPI number 1760479851
LBN Legal business name Beaumont Whitney Place Northborough
DBA Doing business as Beaumont Whitney Place Northborough, Llc
Authorized official Sacon, Gary
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2005
Last updated Mar 12th, 2012 - about 14 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 1760479851 NPPES
Massachusetts MEDICAID 0928178

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