Healthcare Provider Details
I. General information
NPI: 1346493988
Provider Name (Legal Business Name): LINDEN PONDS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/28/2008
Last Update Date: 01/16/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
400 LINDEN PONDS WAY ATTN: EXTENDED CARE ADMINISTRATOR
HINGHAM MA
02043-3784
US
IV. Provider business mailing address
300 LINDEN PONDS WAY ATTN: EXECUTIVE DIRECTOR
HINGHAM MA
02043-0000
US
V. Phone/Fax
- Phone: 781-534-7000
- Fax: 410-204-7237
- Phone: 781-534-7000
- Fax: 410-204-7237
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | 08KC |
| License Number State | MA |
VIII. Authorized Official
Name:
CHRISTOPHER
J
RATHMANN
Title or Position: ASSISTANT TREASURER
Credential:
Phone: 410-402-2390