MEDFORD ADHC is a nursing facility intermediate care facility in Medford, MA. The provider is an institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. MEDFORD ADHC NPI is 1932566056. The provider is registered as an organization entity type.
The provider's business location address is:
101 MYSTIC AVE
MEDFORD, MA
ZIP 02155-628
Phone: (617) 839-8299
The provider's authorized official is Gennadiy Itskin .
The authorized official title is Owner and has the following contact phone number (617) 839-8299.
The CLIA number assigned to this NPI record is 22D2109401 - other - adult day health with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 1/20/2016 and was last updated on 1/20/2016.