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MASSACHUSETTS ASSISTED LIVING LLC NPI 1093930364


NPI Information

NPI: 1093930364
Provider Name: MASSACHUSETTS ASSISTED LIVING LLC

Doing Business As: THE VILLAGE AT LAUREL LAKE

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
600 LAUREL ST
LEE, MA
ZIP 01238
Phone: (413) 243-4747
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MASSACHUSETTS ASSISTED LIVING LLC is an assisted living facility in Lee, MA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. MASSACHUSETTS ASSISTED LIVING LLC NPI is 1093930364. The provider is registered as an organization entity type.
The provider Is Doing Business As The Village At Laurel Lake.

The provider's business location address is:

600 LAUREL ST
LEE, MA
ZIP 01238-800
Phone: (413) 243-4747
Fax: (413) 243-4604

The provider's authorized official is Arthur L. Rothgerber .
The authorized official title is Senior Vp Of Reimbursement and has the following contact phone number (502) 596-7300.

The enumeration date for this NPI number is 4/13/2007 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living FacilityMASSACHUSETTSYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11903870MEDICAIDMASSACHUSETTS

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: 4/28/2024

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