Quaboag On The Common

LBN: Quaside, Inc
Quaboag On The Common is an health care organization with primary practice located at 47 E Main Street , West Brookfield MA 01585-2906. 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. Quaside, Inc can be contacted via phone (508) 867-7716, or through Salvietti, Loren E via phone (508) 867-7716.

Contact Information

Primary practice address
47 E Main Street West Brookfield MA 01585-2906
Fax: (508) 867-2074
Website:
Authorized official contact:
Name: Salvietti, Loren E

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 0144 Massachusetts

Profile Details

NPI number 1720074669
LBN Legal business name Quaside, Inc
DBA Doing business as Quaboag On The Common
Authorized official Salvietti, Loren E
Entity Organization
Organization subpart 1 No
Enumeration date Sep 26th, 2005
Last updated Apr 13th, 2011 - about 13 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 1720074669 NPPES
Massachusetts MEDICAID 0921378

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