Active NPIOrganization

Src Harwich, LLC

Skilled Nursing Facility in Harwich, Massachusetts

NPI Number1790159275
Practice location
111 Headwaters Dr, Harwich, MA 02645-1028
Fax
—
Last updated
November 20, 2015

Src Harwich, LLC is a healthcare organization based in Harwich, MA. Src Harwich, LLC practices in Harwich, MA. The NPI Number for Src Harwich, LLC is 1790159275. The current practice location address for Src Harwich, LLC is 111 Headwaters Dr, Harwich, MA 02645-1028 and can be reached out via phone at 508-430-1717.

Provider Profile Details

NPI Number
1790159275
Provider Name
Src Harwich, LLC
Provider Entity Type
Organization
Address
111 Headwaters Dr, Harwich, MA 02645-1028
Phone Number
508-430-1717
Primary Taxonomy
Skilled Nursing Facility · 314000000X
Organization Subpart
No
Authorized Official
Tamilyn Levin · Chief Financial Officer · 781-707-9510
Provider Enumeration Date
November 20, 2015
Last Update Date
November 20, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
111 Headwaters Dr
Harwich, MA 02645-1028
Zip
02645-1028
Phone Number
508-430-1717
Harwich, MA 02645Get directions →

Provider Business Mailing Address Details

Address
63 Kendrick St
Needham, MA 02494-2708
City
Needham
State
MA
Zip
02494-2708

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 Src Harwich, LLC?

The NPI number of Src Harwich, LLC is 1790159275. It was assigned on November 20, 2015 and is currently active in the NPPES registry.

What is the specialty of Src Harwich, LLC?

Src Harwich, LLC is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X).

Where does Src Harwich, LLC practice?

The practice location is 111 Headwaters Dr, Harwich, MA 02645-1028. The office can be reached at 508-430-1717 (phone).

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 1790159275 directly on the NPPES registry website.

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