Provider Demographics
NPI:1508833922
Name:LONG TERM CENTERS OF NEW ENGLAND, INC
Entity Type:Organization
Organization Name:LONG TERM CENTERS OF NEW ENGLAND, INC
Other - Org Name:GREENWOOD NURSING & REHABILITATION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:C.F.O.
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:R
Authorized Official - Last Name:HARRINGTON
Authorized Official - Suffix:JR
Authorized Official - Credentials:CPA
Authorized Official - Phone:508-384-3400
Mailing Address - Street 1:90 GREENWOOD ST
Mailing Address - Street 2:
Mailing Address - City:WAKEFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01880-4039
Mailing Address - Country:US
Mailing Address - Phone:781-246-0211
Mailing Address - Fax:781-245-4279
Practice Address - Street 1:90 GREENWOOD ST
Practice Address - Street 2:
Practice Address - City:WAKEFIELD
Practice Address - State:MA
Practice Address - Zip Code:01880-4039
Practice Address - Country:US
Practice Address - Phone:781-246-0211
Practice Address - Fax:781-245-4279
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LONG TERM CENTERS OF NEW ENGLAND, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-03-03
Last Update Date:2011-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA0316310400000X
MA0923931313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0923931Medicaid
MA0923931Medicaid
22-5736Medicare PIN