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Contact Information

ELLIS NURSING HOME, INC.
135 ELLIS AVE
NORWOOD, MA02062-3946
 Phone: 781-762-6880
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Rehabilitation

261QR0400X B4[14] Rehabilitation Agency
Indicates primary specialty

NPI Profile & details for ELLIS NURSING HOME, INC.

NPI Number 1790772192
LBN Legal business name ELLIS NURSING HOME, INC.
Authorized official DANIELLE FEDERICO - (BUSINESS MANGER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/30/2005
Last updated 01/17/2018 - About 8 years ago
Identifiers
MA License # 0793
MA Medicaid 0908029
Other 2222521101 BCBS
Other 903249 HDHC
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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