St. Joseph Manor Health Care, Inc.
LBN: St. Joseph Manor Health Care, Inc.
St. Joseph Manor Health Care, Inc. is an health care organization with primary practice located at 215 Thatcher St , Brockton MA 02302-3949. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty.
St. Joseph Manor Health Care, Inc. can be contacted via phone (508) 583-5834, or through Kenney, Christopher J. via phone (508) 583-5834.
Contact Information
Primary practice address
215 Thatcher St
Brockton MA 02302-3949
Phone: (508) 583-5834
Fax: (508) 583-8551
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility | 313M00000X | 881 | Massachusetts |
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 0585 | Massachusetts |
Profile Details
| NPI number | 1275515439 |
|---|---|
| LBN Legal business name | St. Joseph Manor Health Care, Inc. |
| DBA Doing business as | |
| Authorized official | Kenney, Christopher J. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 15th, 2005 |
| Last updated | Nov 20th, 2012 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275515439 | NPPES |
| Massachusetts | MEDICAID | 0906166 |
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