Sudbury Pines Extended Care

LBN: Sudbury Pines Extended Care Facility
Sudbury Pines Extended Care is an health care organization with primary practice located at 642 Boston Post Rd , Sudbury MA 01776-3302. 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. Sudbury Pines Extended Care Facility can be contacted via phone (978) 443-9000, or through Henderson, Roberta C via phone (978) 443-9000.

Contact Information

Primary practice address
642 Boston Post Rd Sudbury MA 01776-3302
Fax: (978) 443-9510
Website:
Authorized official contact:
Name: Henderson, Roberta C NHA

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 0382 Massachusetts

Profile Details

NPI number 1215924147
LBN Legal business name Sudbury Pines Extended Care Facility
DBA Doing business as Sudbury Pines Extended Care
Authorized official Henderson, Roberta C NHA
Entity Organization
Organization subpart 1 No
Enumeration date Oct 5th, 2005
Last updated Mar 28th, 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 1215924147 NPPES
Massachusetts Other 225531 OSCAR CERTIFICATION
Massachusetts MEDICAID 0926248 OSCAR CERTIFICATION

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