MEDICARE: FS COMMONWEALTH LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	283X00000X	Rehabilitation Hospital	2329	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023139409
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FS COMMONWEALTH LLC

Provider Business Mailing Address
First Line	:	2 REHABILITATION WAY
Second Line	:
City	:	WOBURN
State	:	MA
Zip	:	01801-6003
Country	:	US
Telephone Number	:	781-935-5050
Fax Number	:	781-935-6756

Provider Business Practice Location Address
First Line	:	333 PARK ST
Second Line	:	NERH MCLAUGHLIN HOUSE
City	:	NORTH READING
State	:	MA
Zip	:	01864-2717
Country	:	US
Telephone Number	:	978-664-9009
Fax Number	:	978-664-5536

Authorized Official
Title or Position	:	CHIEF FINANCIAL OFFICER
Name	:	MR. LESTER FELEGE
Credential	:
Telephone Number	:	781-935-5050

Provider Enumeration Date	:	04/03/2007
Last Update Date	:	08/22/2020

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