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CORCORAN HOUSE NPI 1801881768


NPI Information

NPI: 1801881768
Provider Name: CORCORAN HOUSE
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 22D2207280

Address:
40 WALNUT ST
CLINTON, MA
ZIP 01510
Phone: (978) 365-3600
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CORCORAN HOUSE is an assisted living facility in Clinton, MA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. CORCORAN HOUSE NPI is 1801881768. The provider is registered as an organization entity type.

The provider's business location address is:

40 WALNUT ST
CLINTON, MA
ZIP 01510-995
Phone: (978) 365-3600
Fax: (978) 365-9800

The provider's authorized official is Mary A Luschen .
The authorized official title is Excutive Director and has the following contact phone number (978) 365-3600.

The CLIA number assigned to this NPI record is 22D2207280 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/16/2005 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
1310400000XAssisted Living Facility1903756MASSACHUSETTSYes

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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