Organization · Type 2 NPI

Registered Nurse Agency

Nursing Facility/Intermediate Care Facility · Boston, MA

NPI number 1780005330 Active

Practice location

580 Shawmut Ave, Apt 1A
Boston, MA 02118-1775

Mailing address

580 Shawmut Ave Apt 1A
Boston, MA 02118-1775

Specialties and licenses

TaxonomyCodeLicense
Nursing Facility/Intermediate Care Facility Primary 313M00000X2268310 (MA)

Nursing Facility/Intermediate Care Facility: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical conditi…

About NPI 1780005330

Registered Nurse Agency's National Provider Identifier is 1780005330, issued on Dec 30, 2013. The primary taxonomy on file is Nursing Facility/Intermediate Care Facility (313M00000X), and the practice location is in Boston, MA. The record was last updated on Dec 30, 2013.