Brookdale Eddy Pond West

LBN: Emeritus Properties Xiv, Llc
Brookdale Eddy Pond West is an health care organization with primary practice located at 669 Washington Street , Auburn MA 01501. The organization recently has 2 registered licenses in different health care specialties including Managed Care Organizations / Exclusive Provider Organization, Nursing & Custodial Care Facilities / Assisted Living Facility. Nursing & Custodial Care Facilities / Assisted Living Facility is the primary health care specialty. Emeritus Properties Xiv, Llc can be contacted via phone (508) 832-4458, or through Richardson, Bryan via phone (615) 564-8131.

Contact Information

Primary practice address
669 Washington Street Auburn MA 01501
Phone: (508) 832-4458
Fax: (508) 832-2861
Website:
Map and Directions
Authorized official contact:
Name: Richardson, Bryan
Phone: (615) 564-8131

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Exclusive Provider Organization 302F00000X EOEA CERTIFICATE ALF Massachusetts
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X Massachusetts

Profile Details

NPI number 1295936813
LBN Legal business name Emeritus Properties Xiv, Llc
DBA Doing business as Brookdale Eddy Pond West
Authorized official Richardson, Bryan
Entity Organization
Organization subpart 1 No
Enumeration date May 30th, 2007
Last updated Jun 6th, 2016 - about 9 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1295936813 NPPES
Massachusetts MEDICAID 1905941
Massachusetts MEDICAID 1900455

Popular Providers