Kimwell

LBN: Kimwell Healthcare Llc
Kimwell is an health care organization with primary practice located at 495 New Boston Rd , Fall River MA 02720-5835. 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. Kimwell Healthcare Llc can be contacted via phone (508) 679-0106, or through Fredette, John G. via phone (508) 679-0106.

Contact Information

Primary practice address
495 New Boston Rd Fall River MA 02720-5835
Phone: (508) 679-0106
Fax: (508) 674-1570
Website:
Map and Directions
Authorized official contact:
Name: Fredette, John G.
Phone: (508) 679-0106

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 0720 Massachusetts

Profile Details

NPI number 1376580266
LBN Legal business name Kimwell Healthcare Llc
DBA Doing business as Kimwell
Authorized official Fredette, John G.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 1st, 2006
Last updated Oct 30th, 2014 - about 10 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 1376580266 NPPES
Massachusetts MEDICAID 110026658B
Massachusetts MEDICAID 0940542

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