Glen Ridge Nursing Care Center

LBN: 120 Murray Street Operations Llc
Glen Ridge Nursing Care Center is an health care organization with primary practice located at 120 Murray Street , Medford MA 02155. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. 120 Murray Street Operations Llc can be contacted via phone (781) 391-0800, or through Berg, Michael T via phone (505) 468-4742.

Contact Information

Primary practice address
120 Murray Street Medford MA 02155
Phone: (781) 391-0800
Fax: (781) 391-0801
Website:
Map and Directions
Authorized official contact:
Name: Berg, Michael T
Phone: (505) 468-4742

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 00000 Massachusetts

Profile Details

NPI number 1316323074
LBN Legal business name 120 Murray Street Operations Llc
DBA Doing business as Glen Ridge Nursing Care Center
Authorized official Berg, Michael T
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 5th, 2015
Last updated Mar 19th, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316323074 NPPES
Massachusetts Other 49447611423151 AETNA

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