Provider Demographics
NPI:1770579070
Name:BEDANCA, INC
Entity type:Organization
Organization Name:BEDANCA, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:NORMAND
Authorized Official - Middle Name:E
Authorized Official - Last Name:MESSIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-878-4660
Mailing Address - Street 1:81 BIRCH ST
Mailing Address - Street 2:
Mailing Address - City:ABINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02351-1792
Mailing Address - Country:US
Mailing Address - Phone:781-878-4660
Mailing Address - Fax:781-878-3524
Practice Address - Street 1:81 BIRCH ST
Practice Address - Street 2:
Practice Address - City:ABINGTON
Practice Address - State:MA
Practice Address - Zip Code:02351-1792
Practice Address - Country:US
Practice Address - Phone:781-878-4660
Practice Address - Fax:781-878-3524
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0920347Medicaid
MA0920347Medicaid