MEDICARE: SAMUEL MARCUS NURSING HOME

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	314000000X	Skilled Nursing Facility

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	:	1114917044
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAMUEL MARCUS NURSING HOME

Provider Business Mailing Address
First Line	:	28 FRONT ST
Second Line	:
City	:	WEYMOUTH
State	:	MA
Zip	:	02188-1605
Country	:	US
Telephone Number	:	781-337-9074
Fax Number	:	781-335-0151

Provider Business Practice Location Address
First Line	:	28 FRONT ST
Second Line	:
City	:	WEYMOUTH
State	:	MA
Zip	:	02188-1605
Country	:	US
Telephone Number	:	781-337-9074
Fax Number	:	781-335-0151

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. LEONARD F. ARABIA
Credential	:
Telephone Number	:	781-337-0772

Provider Enumeration Date	:	10/22/2005
Last Update Date	:	07/08/2008

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