Marian Manor
LBN: Marian Manor, For The Aged And Infirm, Inc.
Marian Manor is an health care organization with primary practice located at 130 Dorchester Street , South Boston MA 02127-2642. 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.
Marian Manor, For The Aged And Infirm, Inc. can be contacted via phone (617) 268-3333, or through Miller, Douglas A. via phone (617) 268-3333.
Contact Information
Primary practice address
130 Dorchester Street
South Boston MA 02127-2642
Phone: (617) 268-3333
Fax: (617) 268-4589
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 225415 | Massachusetts |
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 0506 | Massachusetts |
Profile Details
| NPI number | 1821195165 |
|---|---|
| LBN Legal business name | Marian Manor, For The Aged And Infirm, Inc. |
| DBA Doing business as | Marian Manor |
| Authorized official | Miller, Douglas A. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Mar 31st, 2015 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821195165 | NPPES |
| Massachusetts | MEDICAID | 110025765A |
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