South Cove Manor

LBN: South Cove Manor, Inc
South Cove Manor is an health care organization with primary practice located at 120 Shawmut Avenue , Boston MA 02118-2293. 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. South Cove Manor, Inc can be contacted via phone (617) 423-0590, or through Wong, Richard via phone (617) 423-0590.

Contact Information

Primary practice address
120 Shawmut Avenue Boston MA 02118-2293
Phone: (617) 423-0590
Fax: (617) 292-7922
Website:
Map and Directions
Authorized official contact:
Name: Wong, Richard
Phone: (617) 423-0590

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 0876 Massachusetts

Profile Details

NPI number 1407859564
LBN Legal business name South Cove Manor, Inc
DBA Doing business as South Cove Manor
Authorized official Wong, Richard
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2005
Last updated Apr 1st, 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 1407859564 NPPES
Massachusetts MEDICAID 0916056

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