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BROOKHOUSE HOME FOR AGED WOMEN NPI 1548256886


NPI Information

NPI: 1548256886
Provider Name: BROOKHOUSE HOME FOR AGED WOMEN
Classification: Custodial Care Facility - 311Z00000X
Entity Type: Organization
Address:
180 DERBY ST
SALEM, MA
ZIP 01970
Phone: (978) 740-2493
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BROOKHOUSE HOME FOR AGED WOMEN is a custodial care facility in Salem, MA. The provider is a facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. BROOKHOUSE HOME FOR AGED WOMEN NPI is 1548256886. The provider is registered as an organization entity type.

The provider's business location address is:

180 DERBY ST
SALEM, MA
ZIP 01970-135
Phone: (978) 740-2493
Fax: (978) 744-1516

The provider's authorized official is Susan B Santos .
The authorized official title is Rest Home Administrator and has the following contact phone number (978) 740-2493.

The enumeration date for this NPI number is 9/22/2005 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
1311Z00000XCustodial Care FacilityYes

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
15501571MEDICAIDMASSACHUSETTS

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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