Provider Demographics
NPI:1457348716
Name:ARMENIAN NURSING AND REHABILITATION CENTER, INC.
Entity type:Organization
Organization Name:ARMENIAN NURSING AND REHABILITATION CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:BERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-471-5100
Mailing Address - Street 1:431 POND ST
Mailing Address - Street 2:
Mailing Address - City:JAMAICA PLAIN
Mailing Address - State:MA
Mailing Address - Zip Code:02130-3402
Mailing Address - Country:US
Mailing Address - Phone:617-522-2600
Mailing Address - Fax:617-524-7024
Practice Address - Street 1:431 POND ST
Practice Address - Street 2:
Practice Address - City:JAMAICA PLAIN
Practice Address - State:MA
Practice Address - Zip Code:02130-3402
Practice Address - Country:US
Practice Address - Phone:617-522-2600
Practice Address - Fax:617-524-7024
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-03
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA0454314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0928933Medicaid
225417Medicare ID - Type Unspecified