PLYMOUTH MA SNF LLC NPI 1477781359

NPI Information

  • NPI: 1477781359
  • Provider Name: PLYMOUTH MA SNF LLC
  • Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
  • Entity Type: Organization
  • Doing Business As: PLYMOUTH REHABILITATION & HEALTH CARE CENTER
  • Address: 123 SOUTH STREET
    PLYMOUTH, MA
    ZIP 02360
  • Phone: (508) 746-4343

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NPI Details

PLYMOUTH MA SNF LLC is an intermediate care facility mentally retarded in Plymouth, MA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. PLYMOUTH MA SNF LLC NPI is 1477781359. The provider is registered as an organization entity type.
The provider Is Doing Business As Plymouth Rehabilitation & Health Care Center.

The provider's business location address is:

123 SOUTH STREET
PLYMOUTH, MA
ZIP 02360
Phone: (508) 746-4343
Fax: (508) 746-8240

The provider's authorized official is Paul B Kemp .
The authorized official title is Chief Financial Officer and has the following contact phone number (508) 879-4050.

The enumeration date for this NPI number is 6/30/2009 and was last updated on 12/20/2012.

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
1315P00000XIntermediate Care Facility, Intellectual Disabilities0734MASSACHUSETTSYes

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
1225207MEDICARE OSCAR/CERTIFICATIONMASSACHUSETTS
2110094527BMEDICAIDMASSACHUSETTS

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: 3/30/2025

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