Larchwood Lodge Nursing Home

LBN: Larchwood Lodge Nursing Home
Larchwood Lodge Nursing Home is an health care organization with primary practice located at 325 Bacon St 325 Bacon Street, Waltham MA 02451-7519. 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. Larchwood Lodge Nursing Home can be contacted via phone (781) 894-5264, or through Galatis, Jan via phone (781) 894-5264.

Contact Information

Primary practice address
325 Bacon St 325 Bacon Street Waltham MA 02451-7519
Fax: (781) 894-6011
Website:
Authorized official contact:
Name: Galatis, Jan

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 0214 Massachusetts

Profile Details

NPI number 1609905512
LBN Legal business name Larchwood Lodge Nursing Home
DBA Doing business as
Authorized official Galatis, Jan
Entity Organization
Organization subpart 1 No
Enumeration date Mar 5th, 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 1609905512 NPPES
Massachusetts MEDICAID 0921947

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