Academy Manor

LBN: 89 Morton Street Operations Llc
Academy Manor is an health care organization with primary practice located at 89 Morton St , Andover MA 01810-2036. 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. 89 Morton Street Operations Llc can be contacted via phone (978) 475-0944, or through Berg, Michael T via phone (505) 468-4742.

Contact Information

Primary practice address
89 Morton St Andover MA 01810-2036
Phone: (978) 475-0944
Fax: (978) 470-8504
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 0247 Massachusetts

Profile Details

NPI number 1790967511
LBN Legal business name 89 Morton Street Operations Llc
DBA Doing business as Academy Manor
Authorized official Berg, Michael T
Entity Organization
Organization subpart 1 No
Enumeration date Dec 4th, 2007
Last updated Jul 19th, 2023 - about last year

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 1790967511 NPPES
Massachusetts MEDICAID 110088736A

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