Braintree

LBN: Mentor Abi, Llc
Braintree is an health care organization with primary practice located at 1107 Middle St , Weymouth MA 02190-1819. The organization recently has only one registered license in Hospitals / Rehabilitation Hospital, which is considered as the primary health care specialty. Mentor Abi, Llc can be contacted via phone (781) 708-9444, or through Cruz, Sergio P via phone (781) 708-9444.

Contact Information

Primary practice address
1107 Middle St Weymouth MA 02190-1819
Phone: (781) 708-9444
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Cruz, Sergio P
Phone: (781) 708-9444

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Rehabilitation Hospital 283X00000X

Profile Details

NPI number 1629190269
LBN Legal business name Mentor Abi, Llc
DBA Doing business as Braintree
Authorized official Cruz, Sergio P
Entity Organization
Organization subpart 1 No
Enumeration date Apr 4th, 2007
Last updated Dec 12th, 2018 - about 6 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 1629190269 NPPES
Massachusetts MEDICAID 1901702

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