Provider Type Icon

FBTC TRANSITIONAL SUB LLC NPI 1619553187


NPI Information

NPI: 1619553187
Provider Name: FBTC TRANSITIONAL SUB, LLC
Classification: Clinic/Center - 261QH0700X
Entity Type: Organization

Specialization: Hearing and Speech

Address:
55 TOZER RD
BEVERLY, MA
ZIP 01915
Phone: (978) 969-2894
Get Directions

FBTC TRANSITIONAL SUB, LLC is a hearing and speech clinic center in Beverly, MA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability. FBTC TRANSITIONAL SUB, LLC NPI is 1619553187. The provider is registered as an organization entity type.

The provider's business location address is:

55 TOZER RD
BEVERLY, MA
ZIP 01915-515
Phone: (978) 969-2894

The provider's authorized official is Mary Patricia Rodenberg-roberts .
The authorized official title is Vp& Sr Asst General Counsel and has the following contact phone number (952) 836-2234.

The enumeration date for this NPI number is 3/23/2021 and was last updated on 11/27/2023.


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
1251S00000XCommunity/Behavioral HealthNo
2261QH0700XClinic/CenterHearing and SpeechYes

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
1110078808AMEDICAIDMASSACHUSETTS

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.