Active NPIOrganization

120 Murray Street Operations LLC

Skilled Nursing Facility in Medford, Massachusetts

NPI Number1316323074
Practice location
120 Murray Street, Medford, MA 02155
Fax
781-391-0801
Last updated
March 19, 2019

120 Murray Street Operations LLC is a healthcare organization based in Medford, MA. 120 Murray Street Operations LLC practices in Medford, MA. The NPI Number for 120 Murray Street Operations LLC is 1316323074 and holds a License No. 00000 (MA). The current practice location address for 120 Murray Street Operations LLC is 120 Murray Street, Medford, MA 02155 and can be reached out via phone at 781-391-0800 and via fax at 781-391-0801.

Provider Profile Details

NPI Number
1316323074
Provider Name
120 Murray Street Operations LLC
Provider Entity Type
Organization
Address
120 Murray Street, Medford, MA 02155
Phone Number
781-391-0800
Fax Number
781-391-0801
Primary Taxonomy
Skilled Nursing Facility · 314000000X
Organization Subpart
Yes
Parent Organization
Summit Care LLC
Authorized Official
Michael T Berg · Assistant Secretary · 505-468-4742
Other Names
Glen Ridge Nursing Care Center (Doing Business As)
Provider Enumeration Date
August 5, 2015
Last Update Date
March 19, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
120 Murray Street
Medford, MA 02155
Zip
02155
Phone Number
781-391-0800
Fax Number
781-391-0801
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
120 Murray Street
Medford, MA 02155
City
Medford
State
MA
Zip
02155
Phone Number
781-391-0800
Fax Number
781-391-0801

License Information

License Number
00000
License State
MA
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 120 Murray Street Operations LLC?

The NPI number of 120 Murray Street Operations LLC is 1316323074. It was assigned on August 5, 2015 and is currently active in the NPPES registry.

What is the specialty of 120 Murray Street Operations LLC?

120 Murray Street Operations LLC is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X), licensed in MA under license number 00000.

Where does 120 Murray Street Operations LLC practice?

The practice location is 120 Murray Street, Medford, MA 02155. The office can be reached at 781-391-0800 (phone) or 781-391-0801 (fax).

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 1316323074 directly on the NPPES registry website.

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