<Unavail>

LBN: Lange Rest Homes
<Unavail> is an health care organization with primary practice located at 572 Burncoat St , Worcester MA 01605. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Custodial Care Facility, which is considered as the primary health care specialty. Lange Rest Homes can be contacted via phone (508) 755-6404, or through Lange, William John via phone (508) 755-6404.

Contact Information

Primary practice address
572 Burncoat St Worcester MA 01605
Phone: (508) 755-6404
Fax: (508) 753-8770
Website:
Map and Directions
Authorized official contact:
Name: Lange, William John ADMINISTRATOR
Phone: (508) 755-6404

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Custodial Care Facility 311Z00000X 830 Massachusetts

Profile Details

NPI number 1093702664
LBN Legal business name Lange Rest Homes
DBA Doing business as <Unavail>
Authorized official Lange, William John ADMINISTRATOR
Entity Organization
Organization subpart 1 No
Enumeration date Sep 29th, 2005
Last updated Aug 22nd, 2020 - about 6 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 1093702664 NPPES
Massachusetts MEDICAID 5507278

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