Kenoza Manor Convalescent Home

LBN: Kenoza Manor Convalescent Home
Kenoza Manor Convalescent Home is an health care organization with primary practice located at 190 North Ave , Haverhill MA 01830-2238. 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. Kenoza Manor Convalescent Home can be contacted via phone (978) 372-7700, or through Barry, Tim via phone (978) 372-7700.

Contact Information

Primary practice address
190 North Ave Haverhill MA 01830-2238
Phone: (978) 372-7700
Fax: (978) 521-1737
Website:
Map and Directions
Authorized official contact:
Name: Barry, Tim
Phone: (978) 372-7700

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1578554614
LBN Legal business name Kenoza Manor Convalescent Home
DBA Doing business as
Authorized official Barry, Tim
Entity Organization
Organization subpart 1 No
Enumeration date Oct 28th, 2005
Last updated Aug 12th, 2008 - about 16 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 1578554614 NPPES
Massachusetts MEDICAID 0921092

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