Glen Ridge Nursing Care Center
LBN: Cpl (Glen Ridge) Llc
Glen Ridge Nursing Care Center is an health care organization with primary practice located at 120 Murray Street , Medford MA 02155-1300. 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.
Cpl (Glen Ridge) Llc can be contacted via phone (781) 391-0800, or through Scillia, Carole M via phone (203) 608-6100.
Contact Information
Primary practice address
120 Murray Street
Medford MA 02155-1300
Phone: (781) 391-0800
Fax: (781) 391-9127
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | ||
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 0919 | Massachusetts |
Profile Details
| NPI number | 1760479349 |
|---|---|
| LBN Legal business name | Cpl (Glen Ridge) Llc |
| DBA Doing business as | Glen Ridge Nursing Care Center |
| Authorized official | Scillia, Carole M |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Sep 29th, 2005 |
| Last updated | Jul 27th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760479349 | NPPES |
| Massachusetts | Other | 22225523 | BLUE CROSS BLUE SHIELD |
| Massachusetts | Other | 907769 | BLUE CROSS BLUE SHIELD |
| Massachusetts | Other | 982256 | BLUE CROSS BLUE SHIELD |
| Massachusetts | Other | 7100014 | BLUE CROSS BLUE SHIELD |
| Massachusetts | MEDICAID | 0940054 | BLUE CROSS BLUE SHIELD |
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