Active NPIOrganization

199 Andover Street Operating Company, LLC

Skilled Nursing Facility in Peabody, Massachusetts

NPI Number1770581555
Practice location
199 Andover Street Route 114W, Peabody, MA 01960
Fax
978-532-4134
Last updated
December 15, 2023

199 Andover Street Operating Company, LLC is a healthcare organization based in Peabody, MA. 199 Andover Street Operating Company, LLC practices in Peabody, MA. The NPI Number for 199 Andover Street Operating Company, LLC is 1770581555 and holds a License No. 0900 (MA). The current practice location address for 199 Andover Street Operating Company, LLC is 199 Andover Street Route 114W, Peabody, MA 01960 and can be reached out via phone at 978-531-0772 and via fax at 978-532-4134.

Provider Profile Details

NPI Number
1770581555
Provider Name
199 Andover Street Operating Company, LLC
Provider Entity Type
Organization
Address
199 Andover Street Route 114W, Peabody, MA 01960
Phone Number
978-531-0772
Fax Number
978-532-4134
Primary Taxonomy
Skilled Nursing Facility · 314000000X
Organization Subpart
No
Authorized Official
Emily Vazquez · Vp, Special Projects · 978-930-6051
Other Names
Peabody Healthcare Center (Doing Business As)
Provider Enumeration Date
July 14, 2005
Last Update Date
December 15, 2023
Certification Date
December 15, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
199 Andover Street Route 114W
Peabody, MA 01960
Zip
01960
Phone Number
978-531-0772
Fax Number
978-532-4134
Peabody, MA 01960Get directions →

Provider Business Mailing Address Details

Address
199 Andover Street Route 114W
Peabody, MA 01960
City
Peabody
State
MA
Zip
01960
Phone Number
978-531-0772
Fax Number
978-532-4134

License Information

License Number
0900
License State
MA
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 199 Andover Street Operating Company, LLC?

The NPI number of 199 Andover Street Operating Company, LLC is 1770581555. It was assigned on July 14, 2005 and is currently active in the NPPES registry.

What is the specialty of 199 Andover Street Operating Company, LLC?

199 Andover Street Operating Company, LLC is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X), licensed in MA under license number 0900.

Where does 199 Andover Street Operating Company, LLC practice?

The practice location is 199 Andover Street Route 114W, Peabody, MA 01960. The office can be reached at 978-531-0772 (phone) or 978-532-4134 (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 1770581555 directly on the NPPES registry website.

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