Active NPIOrganization

120 Main Street Operator LLC

Skilled Nursing Facility in Malden, Massachusetts

NPI Number1558890939
Practice location
120 Main St, Malden, MA 02148-6904
Fax
781-324-7309
Last updated
June 8, 2017

120 Main Street Operator LLC is a healthcare organization based in Malden, MA. 120 Main Street Operator LLC practices in Malden, MA. The NPI Number for 120 Main Street Operator LLC is 1558890939. The current practice location address for 120 Main Street Operator LLC is 120 Main St, Malden, MA 02148-6904 and can be reached out via phone at 781-324-5600 and via fax at 781-324-7309.

Provider Profile Details

NPI Number
1558890939
Provider Name
120 Main Street Operator LLC
Provider Entity Type
Organization
Address
120 Main St, Malden, MA 02148-6904
Phone Number
781-324-5600
Fax Number
781-324-7309
Primary Taxonomy
Skilled Nursing Facility · 314000000X
Organization Subpart
Yes
Parent Organization
Next Step Healthcare LLC
Authorized Official
William Howard Stephan · Chief Financial Officer · 617-943-7747
Provider Enumeration Date
June 8, 2017
Last Update Date
June 8, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
120 Main St
Malden, MA 02148-6904
City
Malden
Zip
02148-6904
Phone Number
781-324-5600
Fax Number
781-324-7309
Malden, MA 02148Get directions →

Provider Business Mailing Address Details

Address
75 2ND Ave Ste 605
Needham, MA 02494-2863
City
Needham
State
MA
Zip
02494-2863
Phone Number
617-943-7747
Fax Number
617-454-1051

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 120 Main Street Operator LLC?

The NPI number of 120 Main Street Operator LLC is 1558890939. It was assigned on June 8, 2017 and is currently active in the NPPES registry.

What is the specialty of 120 Main Street Operator LLC?

120 Main Street Operator LLC is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X).

Where does 120 Main Street Operator LLC practice?

The practice location is 120 Main St, Malden, MA 02148-6904. The office can be reached at 781-324-5600 (phone) or 781-324-7309 (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 1558890939 directly on the NPPES registry website.

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