Penacook Place, Inc.

LBN: Penacook Place, Inc.
Penacook Place, Inc. is an health care organization with primary practice located at 150 Water St , Haverhill MA 01830-6298. 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. Penacook Place, Inc. can be contacted via phone (978) 374-0707, or through Rich, Julian via phone (978) 374-0707.

Contact Information

Primary practice address
150 Water St Haverhill MA 01830-6298
Phone: (978) 374-0707
Fax: (978) 521-0495
Website:
Map and Directions
Authorized official contact:
Name: Rich, Julian
Phone: (978) 374-0707

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 0739 Massachusetts

Profile Details

NPI number 1134107196
LBN Legal business name Penacook Place, Inc.
DBA Doing business as
Authorized official Rich, Julian
Entity Organization
Organization subpart 1 No
Enumeration date Jan 9th, 2006
Last updated Dec 5th, 2011 - about 14 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 1134107196 NPPES
Massachusetts MEDICAID 0906476

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