Medway Country Manor Skilled Nursing & Rehabilitation

LBN: Medway Country Manor, Inc.
Medway Country Manor Skilled Nursing & Rehabilitation is an health care organization with primary practice located at 115 Holliston St , Medway MA 02053-1954. The organization recently has 4 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Medway Country Manor, Inc. can be contacted via phone (508) 533-6634, or through Simha, David via phone (917) 885-7050.

Contact Information

Primary practice address
115 Holliston St Medway MA 02053-1954
Phone: (508) 533-6634
Fax: (508) 533-7048
Website:
Map and Directions
Authorized official contact:
Name: Simha, David
Phone: (917) 885-7050

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 0840 Massachusetts
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 0840 Massachusetts
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 0840 Massachusetts
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 0840 Massachusetts

Profile Details

NPI number 1144223074
LBN Legal business name Medway Country Manor, Inc.
DBA Doing business as Medway Country Manor Skilled Nursing & Rehabilitation
Authorized official Simha, David
Entity Organization
Organization subpart 1 No
Enumeration date May 24th, 2005
Last updated Jul 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 1144223074 NPPES
Massachusetts Other 0461870001 NSC
Massachusetts MEDICAID 0910481 NSC
Massachusetts Other 2222541201 NSC
Massachusetts Other SG0026 NSC
Massachusetts Other Y61422 NSC
Massachusetts Other OG0035 NSC

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