Healthcare Provider Details

I. General information

NPI: 1265549786
Provider Name (Legal Business Name): EASTON HEALTH GROUP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2006
Last Update Date: 10/08/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

184 LINCOLN ST
NORTH EASTON MA
02356-1799
US

IV. Provider business mailing address

184 LINCOLN ST
NORTH EASTON MA
02356-1799
US

V. Phone/Fax

Practice location:
  • Phone: 508-238-7053
  • Fax:
Mailing address:
  • Phone: 508-238-7053
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QR0401X
TaxonomyComprehensive Outpatient Rehabilitation Facility (CORF)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number0783
License Number StateMA

VIII. Authorized Official

Name: MR. PATRICK SHEEHAN
Title or Position: MANAGER
Credential:
Phone: 508-238-7053