Healthcare Provider Details

I. General information

NPI: 1720450760
Provider Name (Legal Business Name): MASSACHUSETTS SENIOR CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/29/2015
Last Update Date: 10/29/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1330 MASSACHUSETTS AVE NW
WASHINGTON DC
20005-4155
US

IV. Provider business mailing address

1000 LEGION PL SUITE 1600
ORLANDO FL
32801-1058
US

V. Phone/Fax

Practice location:
  • Phone: 202-628-3844
  • Fax:
Mailing address:
  • Phone: 407-999-2400
  • Fax: 407-999-7759

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. MARTIN STEINBERGER
Title or Position: MANAGER
Credential:
Phone: 407-999-2400