Healthcare Provider Details

I. General information

NPI: 1457348716
Provider Name (Legal Business Name): ARMENIAN NURSING AND REHABILITATION CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2005
Last Update Date: 10/06/2023
Certification Date: 10/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

431 POND ST
JAMAICA PLAIN MA
02130-3402
US

IV. Provider business mailing address

431 POND ST
JAMAICA PLAIN MA
02130-3402
US

V. Phone/Fax

Practice location:
  • Phone: 617-522-2600
  • Fax: 617-524-7024
Mailing address:
  • Phone: 617-522-2600
  • Fax: 617-524-7024

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number0454
License Number StateMA

VIII. Authorized Official

Name: ADAM BERMAN
Title or Position: PRESIDENT & CEO
Credential:
Phone: 978-471-5100