1295746188 NPI number — STONE INSTITUTE AND NEWTON HOME FOR AGED PEOPLE

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1295746188 NPI number — STONE INSTITUTE AND NEWTON HOME FOR AGED PEOPLE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
STONE INSTITUTE AND NEWTON HOME FOR AGED PEOPLE
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
STONE REHABILITATION AND SENIOR LIVING
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1295746188
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/02/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
101 SUN AVE NE
Provider Second Line Business Mailing Address:
COMPLIANCE DEPARTMENT
Provider Business Mailing Address City Name:
ALBUQUERQUE
Provider Business Mailing Address State Name:
NM
Provider Business Mailing Address Postal Code:
87109-4373
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
505-468-5604
Provider Business Mailing Address Fax Number:
505-468-4681

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
277 ELLIOT ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEWTON UPPER FALLS
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02464-1201
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
617-527-0023
Provider Business Practice Location Address Fax Number:
617-965-7531
Provider Enumeration Date:
08/10/2006

Additional Information

Authorized Official

Authorized Official Last Name:
MEDEIROS
Authorized Official First Name:
BRIAN
Authorized Official Middle Name:
Authorized Official Title or Position:
CORPORATE CONTROLLER
Authorized Official Telephone Number:
508-898-3490

Provider Taxonomy Codes

  • Taxonomy code: 314000000X , with the licence number:  0391 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0922536 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".




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