Ellis Nursing Home, Inc.

LBN: Ellis Nursing Home, Inc.
Ellis Nursing Home, Inc. is an health care organization with primary practice located at 135 Ellis Ave , Norwood MA 02062-3946. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Ambulatory Health Care Facilities / Rehabilitation, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Ellis Nursing Home, Inc. can be contacted via phone (781) 762-6880, or through Federico, Danielle A via phone (781) 237-8503.

Contact Information

Primary practice address
135 Ellis Ave Norwood MA 02062-3946
Phone: (781) 762-6880
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Federico, Danielle A
Phone: (781) 237-8503

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 0793 Massachusetts
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1790772192
LBN Legal business name Ellis Nursing Home, Inc.
DBA Doing business as
Authorized official Federico, Danielle A
Entity Organization
Organization subpart 1 No
Enumeration date Sep 30th, 2005
Last updated Jan 17th, 2018 - about 8 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 1790772192 NPPES
Massachusetts MEDICAID 0908029
Massachusetts Other 2222521101
Massachusetts Other 903249

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