PARK PLACE LLC NPI 1215924303

NPI Information

  • NPI: 1215924303
  • Provider Name: PARK PLACE LLC
  • Classification: Skilled Nursing Facility - 314000000X
  • Entity Type: Organization
  • Doing Business As: PARK PLACE
  • Address: 113 CENTRAL AVE
    HYDE PARK, MA
    ZIP 02136
  • Phone: (617) 361-2388

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NPI Details

PARK PLACE LLC is a skilled nursing facility in Hyde Park, 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. PARK PLACE LLC NPI is 1215924303. The provider is registered as an organization entity type.
The provider Is Doing Business As Park Place.

The provider's business location address is:

113 CENTRAL AVE
HYDE PARK, MA
ZIP 02136-021
Phone: (617) 361-2388
Fax: (617) 364-3112

The provider's authorized official is Laura Mcdonnell .
The authorized official title is Corporate Business Office Manager and has the following contact phone number (978) 420-1500.

The enumeration date for this NPI number is 10/4/2005 and was last updated on 2/12/2010.

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 Facility0500MASSACHUSETTSYes

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
10925896MEDICAIDMASSACHUSETTS
2225375MEDICARE OSCAR/CERTIFICATIONMASSACHUSETTS

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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