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Contact Information

265 ESSEX STREET OPERATING COMPANY, LLC
265 ESSEX STREET
BEVERLY, MA01915
 Phone: 978-927-3260
 Fax: 978-922-8347
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for 265 ESSEX STREET OPERATING COMPANY, LLC

NPI # 1023017951
LBN Legal business name 265 ESSEX STREET OPERATING COMPANY, LLC
Authorized official A. LUGO - (EXECUTIVE VP & GENERAL COUNSEL)
Entity Organization
Organization subpart 1 No
Enumeration date 07/21/2005
Last updated 08/13/2015 - About 11 years ago
Identifiers
MA Medicaid 0928291
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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