Plymouth Ma SNF, LLC
Skilled Nursing Facility, Nursing Care, Pediatric in Plymouth, Massachusetts
1366858201- Practice location
- 123 South St, Plymouth, MA 02360-2945
- Phone
- 508-746-4343
- Fax
- 508-746-8240
- Last updated
- February 16, 2023
Plymouth Ma SNF, LLC is a healthcare organization based in Plymouth, MA. Plymouth Ma SNF, LLC practices in Plymouth, MA. The NPI Number for Plymouth Ma SNF, LLC is 1366858201 and holds a License No. 0734 (MA). The current practice location address for Plymouth Ma SNF, LLC is 123 South St, Plymouth, MA 02360-2945 and can be reached out via phone at 508-746-4343 and via fax at 508-746-8240.
Provider Profile Details
- NPI Number
- 1366858201
- Provider Name
- Plymouth Ma SNF, LLC
- Provider Entity Type
- Organization
- Address
- 123 South St, Plymouth, MA 02360-2945
- Phone Number
- 508-746-4343
- Fax Number
- 508-746-8240
- Primary Taxonomy
- Skilled Nursing Facility, Nursing Care, Pediatric · 3140N1450X
- Organization Subpart
- Yes
- Parent Organization
- Athena Health Care Associates
- Authorized Official
- Lawrence G Santilli · Managing Member · 860-751-3900
- Other Names
- Plymouth Rehab & Health Care Center (Doing Business As)
- Provider Enumeration Date
- July 10, 2014
- Last Update Date
- February 16, 2023
- Certification Date
- February 16, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 123 South St
Plymouth, MA 02360-2945 - City
- Plymouth
- State
- Massachusetts
- Zip
- 02360-2945
- Phone Number
- 508-746-4343
- Fax Number
- 508-746-8240
Provider Business Mailing Address Details
- Address
- 123 South St
Plymouth, MA 02360-2945 - City
- Plymouth
- State
- MA
- Zip
- 02360-2945
- Phone Number
- 508-746-4343
- Fax Number
- 508-746-8240
License Information
- License Number
- 0734
- License State
- MA
- Taxonomy
- Skilled Nursing Facility, Nursing Care, Pediatric · 3140N1450X · 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 Plymouth Ma SNF, LLC?
The NPI number of Plymouth Ma SNF, LLC is 1366858201. It was assigned on July 10, 2014 and is currently active in the NPPES registry.
What is the specialty of Plymouth Ma SNF, LLC?
Plymouth Ma SNF, LLC is registered under the primary taxonomy Skilled Nursing Facility, Nursing Care, Pediatric (code 3140N1450X), licensed in MA under license number 0734.
Where does Plymouth Ma SNF, LLC practice?
The practice location is 123 South St, Plymouth, MA 02360-2945. The office can be reached at 508-746-4343 (phone) or 508-746-8240 (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 1366858201 directly on the NPPES registry website.