Healthcare Provider Details

I. General information

NPI: 1235301797
Provider Name (Legal Business Name): BRN CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2008
Last Update Date: 08/21/2024
Certification Date: 08/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 WARD HILL AVE
BRADFORD MA
01835-6928
US

IV. Provider business mailing address

25 RAILROAD SQ SUITE 503
HAVERHILL MA
01832-5721
US

V. Phone/Fax

Practice location:
  • Phone: 978-372-8000
  • Fax:
Mailing address:
  • Phone: 978-556-5907
  • Fax: 978-521-8818

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code283X00000X
TaxonomyRehabilitation Hospital
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code282E00000X
TaxonomyLong Term Care Hospital
License Number2292
License Number StateMA

VIII. Authorized Official

Name: MR. ALFRED J ARCIDI
Title or Position: PRESIDENT
Credential:
Phone: 978-556-5858