Provider Demographics
NPI:1477631992
Name:FOX HILL VILLAGE PARTNERSHIP
Entity Type:Organization
Organization Name:FOX HILL VILLAGE PARTNERSHIP
Other - Org Name:FOX HILL VILLAGE REHAB CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ASSISTANT SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:MARILYN
Authorized Official - Middle Name:
Authorized Official - Last Name:WEAVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-596-7300
Mailing Address - Street 1:10 LONGWOOD DR
Mailing Address - Street 2:FOURTH FLOOR
Mailing Address - City:WESTWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02090-1123
Mailing Address - Country:US
Mailing Address - Phone:781-326-5652
Mailing Address - Fax:781-326-4034
Practice Address - Street 1:10 LONGWOOD DR
Practice Address - Street 2:FOURTH FLOOR
Practice Address - City:WESTWOOD
Practice Address - State:MA
Practice Address - Zip Code:02090-1123
Practice Address - Country:US
Practice Address - Phone:781-326-5652
Practice Address - Fax:781-326-4034
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2015-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
226537Medicare Oscar/Certification