SSC METHUEN OPERATING COMPANY LLC NPI 1053466219

NPI Information

  • NPI: 1053466219
  • Provider Name: SSC METHUEN OPERATING COMPANY LLC
  • Classification: Skilled Nursing Facility - 314000000X
  • Entity Type: Organization
  • Doing Business As: METHUEN HEALTH AND REHABILITATION CENTER
  • Address: 480 JACKSON ST
    METHUEN, MA
    ZIP 01844
  • Phone: (978) 686-3906

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NPI Details

SSC METHUEN OPERATING COMPANY LLC is a skilled nursing facility in Methuen, MA. The provider is (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. SSC METHUEN OPERATING COMPANY LLC NPI is 1053466219. The provider is registered as an organization entity type.
The provider Is Doing Business As Methuen Health And Rehabilitation Center.

The provider's business location address is:

480 JACKSON ST
METHUEN, MA
ZIP 01844-020
Phone: (978) 686-3906

The provider's authorized official is Kelle C Santoro .
The authorized official title is Sr Director Ar and has the following contact phone number (832) 467-5728.

The enumeration date for this NPI number is 1/25/2007 and was last updated on 4/10/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1314000000XSkilled Nursing Facility0261MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10928097OTHERMASSACHUSETTSPREVIOUS MEDICAID NUMBER
2225333MEDICARE OSCAR/CERTIFICATIONMASSACHUSETTS
3110026377AMEDICAIDMASSACHUSETTS
40920801MEDICAIDMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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