Our Island Home

LBN: Town Of Nantucket
Our Island Home is an health care organization with primary practice located at 9 E Creek Rd , Nantucket MA 02554-4015. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. Town Of Nantucket can be contacted via phone (508) 228-0462, or through Meriam, Pamela Grantham via phone (508) 325-5360.

Contact Information

Primary practice address
9 E Creek Rd Nantucket MA 02554-4015
Fax: (508) 228-6875
Website:
Authorized official contact:
Name: Meriam, Pamela Grantham LICSW

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 0851 Massachusetts

Profile Details

NPI number 1720077738
LBN Legal business name Town Of Nantucket
DBA Doing business as Our Island Home
Authorized official Meriam, Pamela Grantham LICSW
Entity Organization
Organization subpart 1 No
Enumeration date Oct 21st, 2005
Last updated Oct 25th, 2007 - about 19 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 1720077738 NPPES
Massachusetts MEDICAID 0913162

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