Provider Demographics
NPI:1942246459
Name:JACS OPS IV, INC
Entity Type:Organization
Organization Name:JACS OPS IV, INC
Other - Org Name:EPOCH SENIOR HEALTHCARE OF NORTON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBORA
Authorized Official - Middle Name:A
Authorized Official - Last Name:PFAFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-891-0777
Mailing Address - Street 1:51 SAWYER RD
Mailing Address - Street 2:SUITE 500
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02453-3448
Mailing Address - Country:US
Mailing Address - Phone:781-891-0777
Mailing Address - Fax:781-647-0697
Practice Address - Street 1:184 MANSFIELD AVE
Practice Address - Street 2:
Practice Address - City:NORTON
Practice Address - State:MA
Practice Address - Zip Code:02766-1306
Practice Address - Country:US
Practice Address - Phone:508-285-7745
Practice Address - Fax:508-285-5541
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-22
Last Update Date:2008-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0925136Medicaid
MA225051BMedicare Oscar/Certification