Healthcare Provider Details

I. General information

NPI: 1255478962
Provider Name (Legal Business Name): JEWISH REHABILITATION CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2007
Last Update Date: 09/28/2023
Certification Date: 09/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

240 LYNNFIELD ST
PEABODY MA
01960-5055
US

IV. Provider business mailing address

240 LYNNFIELD ST
PEABODY MA
01960-5055
US

V. Phone/Fax

Practice location:
  • Phone: 978-471-5100
  • Fax: 978-471-5508
Mailing address:
  • Phone: 978-471-5100
  • Fax: 978-471-5508

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number0776
License Number StateMA

VIII. Authorized Official

Name: MR. JENNIFER SANTERRE
Title or Position: CFO
Credential:
Phone: 978-471-5100