Cpl (Glen Ridge) LLC
Skilled Nursing Facility in Medford, Massachusetts
1760479349- Practice location
- 120 Murray Street, Medford, MA 02155-1300
- Phone
- 781-391-0800
- Fax
- 781-391-9127
- Last updated
- July 27, 2011
Cpl (Glen Ridge) LLC is a healthcare organization based in Medford, MA. Cpl (Glen Ridge) LLC practices in Medford, MA. The NPI Number for Cpl (Glen Ridge) LLC is 1760479349 and holds a License No. 0919 (MA). The current practice location address for Cpl (Glen Ridge) LLC is 120 Murray Street, Medford, MA 02155-1300 and can be reached out via phone at 781-391-0800 and via fax at 781-391-9127.
Provider Profile Details
- NPI Number
- 1760479349
- Provider Name
- Cpl (Glen Ridge) LLC
- Provider Entity Type
- Organization
- Address
- 120 Murray Street, Medford, MA 02155-1300
- Phone Number
- 781-391-0800
- Fax Number
- 781-391-9127
- Primary Taxonomy
- Skilled Nursing Facility · 314000000X
- Organization Subpart
- Yes
- Parent Organization
- New Jersey Subacute LLC
- Authorized Official
- Mr. Carole M Scillia · LLC Manager · 203-608-6100
- Other Names
- Glen Ridge Nursing Care Center (Doing Business As)
- Provider Enumeration Date
- September 29, 2005
- Last Update Date
- July 27, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 120 Murray Street
Medford, MA 02155-1300 - City
- Medford
- State
- Massachusetts
- Zip
- 02155-1300
- Phone Number
- 781-391-0800
- Fax Number
- 781-391-9127
Provider Business Mailing Address Details
- Address
- 538 Presont Avenue
Suite 270
Meriden, CT 06450-4851 - City
- Meriden
- State
- CT
- Zip
- 06450-4851
- Phone Number
- 203-608-6100
- Fax Number
- 203-639-3574
License Information
- Taxonomy (1)
- Skilled Nursing Facility · 314000000X
- License Number (2)
- 0919
- License State (2)
- MA
- Taxonomy (2)
- 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. | |||
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Frequently Asked Questions
What is the NPI number of Cpl (Glen Ridge) LLC?
The NPI number of Cpl (Glen Ridge) LLC is 1760479349. It was assigned on September 29, 2005 and is currently active in the NPPES registry.
What is the specialty of Cpl (Glen Ridge) LLC?
Cpl (Glen Ridge) LLC is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X), licensed in MA under license number 0919.
Where does Cpl (Glen Ridge) LLC practice?
The practice location is 120 Murray Street, Medford, MA 02155-1300. The office can be reached at 781-391-0800 (phone) or 781-391-9127 (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 1760479349 directly on the NPPES registry website.