Healthcare Provider Details

I. General information

NPI: 1801832274
Provider Name (Legal Business Name): TUFTS MEDICAL CENTER PARENT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2006
Last Update Date: 04/14/2025
Certification Date: 04/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

78 BOSTON RD
BILLERICA MA
01862-1034
US

IV. Provider business mailing address

78 BOSTON RD
N BILLERICA MA
01862-1034
US

V. Phone/Fax

Practice location:
  • Phone: 978-667-5123
  • Fax: 978-663-5154
Mailing address:
  • Phone: 978-667-5123
  • Fax: 978-663-5154

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code311Z00000X
TaxonomyCustodial Care Facility
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number0756
License Number StateMA
# 5
Primary TaxonomyN
Taxonomy Code315P00000X
TaxonomyIntellectual Disabilities Intermediate Care Facility
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code3140N1450X
TaxonomyPediatric Skilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: LAUREN MAZERALL
Title or Position: PRESIDENT
Credential:
Phone: 978-667-5123