CHARLES GROUP HOLDINGS INC NPI 1134549645

NPI Details

CHARLES GROUP HOLDINGS INC is a nursing facility intermediate care facility in Millis, MA. The provider is 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 condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. CHARLES GROUP HOLDINGS INC NPI is 1134549645. The provider is registered as an organization entity type.
The provider Is Doing Business As Willowbrook Manor Rest Home.

The provider's business location address is:

71 UNION ST
MILLIS, MA
ZIP 02054-269
Phone: (508) 376-5083

The provider's authorized official is Annette Fernandez .
The authorized official title is President and has the following contact phone number (502) 649-6604.

The CLIA number assigned to this NPI record is 22D2202534 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/23/2014 and was last updated on 4/23/2014.

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: