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NORTHEAST SENIOR HEALTH CORP NPI 1659416980


NPI Information

NPI: 1659416980
Provider Name: NORTHEAST SENIOR HEALTH CORP

Doing Business As: BEVERLY HOSPITAL LIFELINE PROGRAM

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
800 CUMMINGS CTR
SUITE 266U
BEVERLY, MA
ZIP 01915
Phone: (978) 921-1697
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NORTHEAST SENIOR HEALTH CORP is a durable medical equipment medical supplies in Beverly, MA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. NORTHEAST SENIOR HEALTH CORP NPI is 1659416980. The provider is registered as an organization entity type.
The provider Is Doing Business As Beverly Hospital Lifeline Program.

The provider's business location address is:

800 CUMMINGS CTR
SUITE 266U
BEVERLY, MA
ZIP 01915-175
Phone: (978) 921-1697
Fax: (978) 921-1624

The provider's authorized official is Diane Glendon .
The authorized official title is Lifeline Program Manager and has the following contact phone number (978) 921-1697.

The enumeration date for this NPI number is 2/21/2007 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
1332B00000XDurable Medical Equipment & Medical SuppliesYes

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
11532316MEDICAIDMASSACHUSETTS

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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