Wachusett Extended Care Facility Inc
LBN: Wachusett Extended Care Facility Inc
Wachusett Extended Care Facility Inc is an health care organization with primary practice located at 56 Boyden Road , Holden MA 01520-2570. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty.
Wachusett Extended Care Facility Inc can be contacted via phone (508) 829-1104, or through Mahoney, Sandra via phone (508) 829-1104.
Contact Information
Primary practice address
56 Boyden Road
Holden MA 01520-2570
Phone: (508) 829-1104
Fax: (508) 829-1221
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility | 313M00000X | 0930172 | Massachusetts |
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X |
Profile Details
| NPI number | 1508852757 |
|---|---|
| LBN Legal business name | Wachusett Extended Care Facility Inc |
| DBA Doing business as | |
| Authorized official | Mahoney, Sandra |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 23rd, 2005 |
| Last updated | Apr 17th, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508852757 | NPPES |
| Massachusetts | MEDICAID | 0920304 | |
| Massachusetts | MEDICAID | 0930172 |
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