Provider Demographics
NPI:1669468799
Name:SACHEM ASSOCIATES, INC.
Entity type:Organization
Organization Name:SACHEM ASSOCIATES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:VALERI
Authorized Official - Suffix:
Authorized Official - Credentials:N/A
Authorized Official - Phone:781-592-5849
Mailing Address - Street 1:66 JOHNSON ST
Mailing Address - Street 2:66 JOHNSON ST
Mailing Address - City:LYNN
Mailing Address - State:MA
Mailing Address - Zip Code:01902-4141
Mailing Address - Country:US
Mailing Address - Phone:781-592-5849
Mailing Address - Fax:781-592-7569
Practice Address - Street 1:66 JOHNSON ST
Practice Address - Street 2:66 JOHNSON ST
Practice Address - City:LYNN
Practice Address - State:MA
Practice Address - Zip Code:01902-4141
Practice Address - Country:US
Practice Address - Phone:781-592-5849
Practice Address - Fax:781-592-7569
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA0331314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0915572Medicaid