Active NPIOrganization

Wachusett Extended Care Facility INC

Skilled Nursing Facility in Holden, Massachusetts

NPI Number1508852757
Practice location
56 Boyden Road, Holden, MA 01520-2570
Fax
508-829-1221
Last updated
April 17, 2013

Wachusett Extended Care Facility INC is a healthcare organization based in Holden, MA. Wachusett Extended Care Facility INC practices in Holden, MA. The NPI Number for Wachusett Extended Care Facility INC is 1508852757 and holds a License No. 0930172 (MA). The current practice location address for Wachusett Extended Care Facility INC is 56 Boyden Road, Holden, MA 01520-2570 and can be reached out via phone at 508-829-1104 and via fax at 508-829-1221.

Provider Profile Details

NPI Number
1508852757
Provider Name
Wachusett Extended Care Facility INC
Provider Entity Type
Organization
Address
56 Boyden Road, Holden, MA 01520-2570
Phone Number
508-829-1104
Fax Number
508-829-1221
Primary Taxonomy
Skilled Nursing Facility · 314000000X
Organization Subpart
No
Authorized Official
Ms. Sandra Mahoney · Administrator · 508-829-1104
Provider Enumeration Date
September 23, 2005
Last Update Date
April 17, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
56 Boyden Road
Holden, MA 01520-2570
City
Holden
Zip
01520-2570
Phone Number
508-829-1104
Fax Number
508-829-1221
Holden, MA 01520Get directions →

Provider Business Mailing Address Details

Address
54 Boyden Road
Holden, MA 01520-2570
City
Holden
State
MA
Zip
01520-2570
Phone Number
508-829-1110
Fax Number
508-829-1234

License Information

License Number (1)
0930172
License State (1)
MA
Taxonomy (2)
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 Wachusett Extended Care Facility INC?

The NPI number of Wachusett Extended Care Facility INC is 1508852757. It was assigned on September 23, 2005 and is currently active in the NPPES registry.

What is the specialty of Wachusett Extended Care Facility INC?

Wachusett Extended Care Facility INC is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X), licensed in MA under license number 0930172.

Where does Wachusett Extended Care Facility INC practice?

The practice location is 56 Boyden Road, Holden, MA 01520-2570. The office can be reached at 508-829-1104 (phone) or 508-829-1221 (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 1508852757 directly on the NPPES registry website.

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