MEDICARE: SUNNY ACRES NURSING HOME, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility	0170	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	S00085194	OTHER	MA	TUFTS SECURE HORIZONS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	2222549401	OTHER	MA	BLUE CROSS/BLUE SHIELD
4	7100153	OTHER		EVERCARE
5	903271	OTHER	MA	HARVARD PILGRIM HEALTH

General Provider Information

NPI Number	:	1487659926
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNNY ACRES NURSING HOME, INC.

Provider Business Mailing Address
First Line	:	254 BILLERICA RD
Second Line	:
City	:	CHELMSFORD
State	:	MA
Zip	:	01824-4114
Country	:	US
Telephone Number	:	978-256-0231
Fax Number	:	978-250-5858

Provider Business Practice Location Address
First Line	:	254 BILLERICA RD
Second Line	:
City	:	CHELMSFORD
State	:	MA
Zip	:	01824-4114
Country	:	US
Telephone Number	:	978-256-0231
Fax Number	:	978-250-5858

Authorized Official
Title or Position	:	PRESIDENT/ADMINISTRATOR
Name	:	SHIRLEY D FREITAS
Credential	:	R.N, B.S.N., M.S
Telephone Number	:	978-256-0231

Provider Enumeration Date	:	06/20/2005
Last Update Date	:	08/22/2020

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