Healthcare Provider Details

I. General information

NPI: 1588296321
Provider Name (Legal Business Name): VERO HEALTH XVI, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2020
Last Update Date: 02/10/2020
Certification Date: 02/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 ORIOL DR
WORCESTER MA
01605-1911
US

IV. Provider business mailing address

10500 LITTLE PATUXENT PKWY STE 300
COLUMBIA MD
21044-3522
US

V. Phone/Fax

Practice location:
  • Phone: 508-852-3330
  • Fax: 508-959-1015
Mailing address:
  • Phone: 410-992-0500
  • Fax: 443-539-7657

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MR. EAMONN D REILLY
Title or Position: CEO
Credential:
Phone: 410-992-0500