Greater Waltham Arc, Inc.

LBN: Greater Waltham Arc, Inc.
Greater Waltham Arc, Inc. is an health care organization with primary practice located at 56 Chestnut St , Waltham MA 02453-4433. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as the primary health care specialty. Greater Waltham Arc, Inc. can be contacted via phone (781) 899-1344, or through Wiswall, John via phone (781) 899-1344.

Contact Information

Primary practice address
56 Chestnut St Waltham MA 02453-4433
Fax: (781) 899-2197
Website:
Authorized official contact:
Name: Wiswall, John

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X

Profile Details

NPI number 1629355847
LBN Legal business name Greater Waltham Arc, Inc.
DBA Doing business as
Authorized official Wiswall, John
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 16th, 2011
Last updated Nov 16th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629355847 NPPES
Massachusetts MEDICAID 110027946D

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