Lighthouse Nursing Care Center

LBN: Lighthouse Of Revere, Inc.
Lighthouse Nursing Care Center is an health care organization with primary practice located at 204 Proctor Ave , Revere MA 02151-4923. 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. Lighthouse Of Revere, Inc. can be contacted via phone (781) 286-3100, or through Marks, Roger E via phone (781) 286-3100.

Contact Information

Primary practice address
204 Proctor Ave Revere MA 02151-4923
Phone: (781) 286-3100
Fax: (781) 286-4109
Website:
Map and Directions
Authorized official contact:
Name: Marks, Roger E
Phone: (781) 286-3100

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 0880 Massachusetts

Profile Details

NPI number 1699772376
LBN Legal business name Lighthouse Of Revere, Inc.
DBA Doing business as Lighthouse Nursing Care Center
Authorized official Marks, Roger E
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2005
Last updated Jul 24th, 2008 - about 18 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 1699772376 NPPES
Massachusetts MEDICAID 0922226

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