Provider Demographics
NPI:1457708695
Name:GORDON OPERATING COMPANY LLC
Entity Type:Organization
Organization Name:GORDON OPERATING COMPANY LLC
Other - Org Name:ALDEN COURT COURT NURSING CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:S
Authorized Official - Last Name:GORDON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-731-7991
Mailing Address - Street 1:4 BATTERY WHARF
Mailing Address - Street 2:SUITE 4404
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02109-1099
Mailing Address - Country:US
Mailing Address - Phone:617-694-1131
Mailing Address - Fax:508-992-3708
Practice Address - Street 1:389 ALDEN RD
Practice Address - Street 2:
Practice Address - City:FAIRHAVEN
Practice Address - State:MA
Practice Address - Zip Code:02719-4451
Practice Address - Country:US
Practice Address - Phone:508-991-8600
Practice Address - Fax:508-992-3708
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-18
Last Update Date:2016-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA0912314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility