Healthcare Provider Details

I. General information

NPI: 1811024367
Provider Name (Legal Business Name): GREATER LYNN SENIOR SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2007
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 SILSBEE ST
LYNN MA
01901-1404
US

IV. Provider business mailing address

8 SILSBEE ST
LYNN MA
01901-1404
US

V. Phone/Fax

Practice location:
  • Phone: 781-592-4040
  • Fax:
Mailing address:
  • Phone: 781-592-4040
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: CAROL M MILLS
Title or Position: DATA APPLICATION SPECIALIST
Credential:
Phone: 781-586-8505