Provider Demographics
NPI:1326389099
Name:HOME FOR AGED PEOPLE IN FALL RIVER
Entity Type:Organization
Organization Name:HOME FOR AGED PEOPLE IN FALL RIVER
Other - Org Name:ADAMS HOUSE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:
Authorized Official - First Name:MARYANN
Authorized Official - Middle Name:
Authorized Official - Last Name:MERCER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-679-0144
Mailing Address - Street 1:1168 HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02720-5710
Mailing Address - Country:US
Mailing Address - Phone:508-679-0144
Mailing Address - Fax:508-679-4860
Practice Address - Street 1:1168 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02720-5710
Practice Address - Country:US
Practice Address - Phone:508-679-0144
Practice Address - Fax:508-679-4860
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-06
Last Update Date:2013-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA0639313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0909211OtherVPN