Active NPIOrganization

Src Melrose, LLC

Skilled Nursing Facility in Melrose, Massachusetts

NPI Number1073987558
Practice location
15 Green St, Melrose, MA 02176-2811
Fax
—
Last updated
November 20, 2015

Src Melrose, LLC is a healthcare organization based in Melrose, MA. Src Melrose, LLC practices in Melrose, MA. The NPI Number for Src Melrose, LLC is 1073987558. The current practice location address for Src Melrose, LLC is 15 Green St, Melrose, MA 02176-2811 and can be reached out via phone at 781-665-3950.

Provider Profile Details

NPI Number
1073987558
Provider Name
Src Melrose, LLC
Provider Entity Type
Organization
Address
15 Green St, Melrose, MA 02176-2811
Phone Number
781-665-3950
Primary Taxonomy
Skilled Nursing Facility · 314000000X
Organization Subpart
No
Authorized Official
Tamilyn Levin · Chief Financial Officer · 781-707-9510
Provider Enumeration Date
November 20, 2015
Last Update Date
November 20, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
15 Green St
Melrose, MA 02176-2811
Zip
02176-2811
Phone Number
781-665-3950
Melrose, MA 02176Get directions →

Provider Business Mailing Address Details

Address
63 Kendrick St
Needham, MA 02494-2708
City
Needham
State
MA
Zip
02494-2708

License Information

Taxonomy
Skilled Nursing Facility · 314000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Src Melrose, LLC?

The NPI number of Src Melrose, LLC is 1073987558. It was assigned on November 20, 2015 and is currently active in the NPPES registry.

What is the specialty of Src Melrose, LLC?

Src Melrose, LLC is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X).

Where does Src Melrose, LLC practice?

The practice location is 15 Green St, Melrose, MA 02176-2811. The office can be reached at 781-665-3950 (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 1073987558 directly on the NPPES registry website.

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