Provider Demographics
NPI:1689685257
Name:NORTH HILL NEEDHAM, INC
Entity Type:Organization
Organization Name:NORTH HILL NEEDHAM, INC
Other - Org Name:THE SKILLED NURSING FACILITY AT NORTH HILL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:GOLDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LNHA
Authorized Official - Phone:781-433-6215
Mailing Address - Street 1:865 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:NEEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02492-1316
Mailing Address - Country:US
Mailing Address - Phone:781-444-9910
Mailing Address - Fax:781-453-8675
Practice Address - Street 1:865 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:NEEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02492-1316
Practice Address - Country:US
Practice Address - Phone:781-444-9910
Practice Address - Fax:781-453-8675
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-10
Last Update Date:2015-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA0868314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA802793OtherTUFTS ID
MA0915335Medicaid
MA2222528101OtherBLUE CROSS BLUE SHIELD
MA802793OtherTUFTS ID