200 Governors Opco LLC
Skilled Nursing Facility in Medford, Massachusetts
1053178582- Practice location
- 200 Governors Ave, Medford, MA 02155-1644
- Phone
- 781-391-5400
- Fax
- —
- Last updated
- March 1, 2024
200 Governors Opco LLC is a healthcare organization based in Medford, MA. 200 Governors Opco LLC practices in Medford, MA. The NPI Number for 200 Governors Opco LLC is 1053178582. The current practice location address for 200 Governors Opco LLC is 200 Governors Ave, Medford, MA 02155-1644 and can be reached out via phone at 781-391-5400.
Provider Profile Details
- NPI Number
- 1053178582
- Provider Name
- 200 Governors Opco LLC
- Provider Entity Type
- Organization
- Address
- 200 Governors Ave, Medford, MA 02155-1644
- Phone Number
- 781-391-5400
- Primary Taxonomy
- Skilled Nursing Facility · 314000000X
- Organization Subpart
- No
- Authorized Official
- Eliyahu Mirlis · Owner · 732-961-8491
- Provider Enumeration Date
- March 1, 2024
- Last Update Date
- March 1, 2024
- Certification Date
- March 1, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 200 Governors Ave
Medford, MA 02155-1644 - City
- Medford
- State
- Massachusetts
- Zip
- 02155-1644
- Phone Number
- 781-391-5400
Provider Business Mailing Address Details
- Address
- 200 Governors Ave
Medford, MA 02155-1644 - City
- Medford
- State
- MA
- Zip
- 02155-1644
- Phone Number
- 781-391-5400
License Information
- Taxonomy
- Skilled Nursing Facility · 314000000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of 200 Governors Opco LLC?
The NPI number of 200 Governors Opco LLC is 1053178582. It was assigned on March 1, 2024 and is currently active in the NPPES registry.
What is the specialty of 200 Governors Opco LLC?
200 Governors Opco LLC is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X).
Where does 200 Governors Opco LLC practice?
The practice location is 200 Governors Ave, Medford, MA 02155-1644. The office can be reached at 781-391-5400 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053178582 directly on the NPPES registry website.