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Contact Information

GUARDIAN CENTER, INC
888 NORTH MAIN STREET
BROCKTON, MA02301
 Phone: 508-588-1694
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

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

NPI Profile & details for GUARDIAN CENTER, INC

NPI Number 1265538631
LBN Legal business name GUARDIAN CENTER, INC
Authorized official GREGORY GROVE - (CEO-GUARDIAN FOUNDATION)
Entity Organization
Organization subpart 1 No
Enumeration date 09/15/2006
Last updated 06/24/2008 - About 18 years ago
Identifiers
MA Medicaid 0925187
MA Other 2222538201 BLUE CROSS BLUE SHIELD
MA Other 7100960 EVERCARE
MA Other 981017 TUFTS
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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