Village Rest Home INC
Exclusive Provider Organization in Brockton, Massachusetts
1104044981- Practice location
- 197 W Chestnut St, Brockton, MA 02301-6753
- Phone
- 508-583-0040
- Fax
- —
- Last updated
- August 22, 2020
Village Rest Home INC is a healthcare organization based in Brockton, MA. Village Rest Home INC practices in Brockton, MA. The NPI Number for Village Rest Home INC is 1104044981. The current practice location address for Village Rest Home INC is 197 W Chestnut St, Brockton, MA 02301-6753 and can be reached out via phone at 508-583-0040.
Provider Profile Details
- NPI Number
- 1104044981
- Provider Name
- Village Rest Home INC
- Provider Entity Type
- Organization
- Address
- 197 W Chestnut St, Brockton, MA 02301-6753
- Phone Number
- 508-583-0040
- Primary Taxonomy
- Exclusive Provider Organization · 302F00000X
- Organization Subpart
- No
- Authorized Official
- Guy Marcellus · Director · 508-583-0040
- Provider Enumeration Date
- April 24, 2007
- Last Update Date
- August 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 197 W Chestnut St
Brockton, MA 02301-6753 - City
- Brockton
- State
- Massachusetts
- Zip
- 02301-6753
- Phone Number
- 508-583-0040
Provider Business Mailing Address Details
- Address
- 30 Sinclair RD
Brockton, MA 02302-4452 - City
- Brockton
- State
- MA
- Zip
- 02302-4452
License Information
- Taxonomy
- Exclusive Provider Organization · 302F00000X · 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 Village Rest Home INC?
The NPI number of Village Rest Home INC is 1104044981. It was assigned on April 24, 2007 and is currently active in the NPPES registry.
What is the specialty of Village Rest Home INC?
Village Rest Home INC is registered under the primary taxonomy Exclusive Provider Organization (code 302F00000X).
Where does Village Rest Home INC practice?
The practice location is 197 W Chestnut St, Brockton, MA 02301-6753. The office can be reached at 508-583-0040 (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 1104044981 directly on the NPPES registry website.