Lighthouse Of Revere, INC.
Skilled Nursing Facility in Revere, Massachusetts
1699772376- Practice location
- 204 Proctor Ave, Revere, MA 02151-4923
- Phone
- 781-286-3100
- Fax
- 781-286-4109
- Last updated
- July 24, 2008
Lighthouse Of Revere, INC. is a healthcare organization based in Revere, MA. Lighthouse Of Revere, INC. practices in Revere, MA. The NPI Number for Lighthouse Of Revere, INC. is 1699772376 and holds a License No. 0880 (MA). The current practice location address for Lighthouse Of Revere, INC. is 204 Proctor Ave, Revere, MA 02151-4923 and can be reached out via phone at 781-286-3100 and via fax at 781-286-4109.
Provider Profile Details
- NPI Number
- 1699772376
- Provider Name
- Lighthouse Of Revere, INC.
- Provider Entity Type
- Organization
- Address
- 204 Proctor Ave, Revere, MA 02151-4923
- Phone Number
- 781-286-3100
- Fax Number
- 781-286-4109
- Primary Taxonomy
- Skilled Nursing Facility · 314000000X
- Organization Subpart
- No
- Authorized Official
- Mr. Roger E Marks · Administrator · 781-286-3100
- Other Names
- Lighthouse Nursing Care Center (Doing Business As)
- Provider Enumeration Date
- July 7, 2005
- Last Update Date
- July 24, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 204 Proctor Ave
Revere, MA 02151-4923 - City
- Revere
- State
- Massachusetts
- Zip
- 02151-4923
- Phone Number
- 781-286-3100
- Fax Number
- 781-286-4109
Provider Business Mailing Address Details
- Address
- 204 Proctor Ave
Revere, MA 02151-4923 - City
- Revere
- State
- MA
- Zip
- 02151-4923
- Phone Number
- 781-286-3100
- Fax Number
- 781-286-4109
License Information
- License Number
- 0880
- License State
- MA
- Taxonomy
- Skilled Nursing Facility · 314000000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Skilled Nursing Facility providers near Revere, MA
View all Skilled Nursing Facility providers in Revere →Frequently Asked Questions
What is the NPI number of Lighthouse Of Revere, INC.?
The NPI number of Lighthouse Of Revere, INC. is 1699772376. It was assigned on July 7, 2005 and is currently active in the NPPES registry.
What is the specialty of Lighthouse Of Revere, INC.?
Lighthouse Of Revere, INC. is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X), licensed in MA under license number 0880.
Where does Lighthouse Of Revere, INC. practice?
The practice location is 204 Proctor Ave, Revere, MA 02151-4923. The office can be reached at 781-286-3100 (phone) or 781-286-4109 (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 1699772376 directly on the NPPES registry website.