Fairmount Rest Home, Inc.

LBN: Fairmount Rest Home, Inc.
Fairmount Rest Home, Inc. is an health care organization with primary practice located at 172 Fairmount Ave 172 Fairmount Ave, Hyde Park MA 02136-3506. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. Fairmount Rest Home, Inc. can be contacted via phone (617) 361-5150, or through Marden, Susan via phone (617) 361-5150.

Contact Information

Primary practice address
172 Fairmount Ave 172 Fairmount Ave Hyde Park MA 02136-3506
Phone: (617) 361-5150
Fax: (617) 361-7951
Website:
Map and Directions
Authorized official contact:
Name: Marden, Susan
Phone: (617) 361-5150

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 1387 Massachusetts

Profile Details

NPI number 1306971254
LBN Legal business name Fairmount Rest Home, Inc.
DBA Doing business as
Authorized official Marden, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Feb 22nd, 2007
Last updated Aug 22nd, 2020 - about 4 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 1306971254 NPPES
Massachusetts MEDICAID 5505739

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