Provider Demographics
NPI:1235209693
Name:NEW BOSTON NURSING CENTER
Entity Type:Organization
Organization Name:NEW BOSTON NURSING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMBLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-678-9755
Mailing Address - Street 1:7 SANDISFIELD RD
Mailing Address - Street 2:
Mailing Address - City:SANDISFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01255
Mailing Address - Country:US
Mailing Address - Phone:413-258-4731
Mailing Address - Fax:413-258-4116
Practice Address - Street 1:7 SANDISFIELD RD
Practice Address - Street 2:
Practice Address - City:SANDISFIELD
Practice Address - State:MA
Practice Address - Zip Code:01255
Practice Address - Country:US
Practice Address - Phone:413-258-4731
Practice Address - Fax:413-258-4116
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA0020314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility