DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: SUDBURY PINES EXTENDED CARE FACILITY

MEDICARE: SUDBURY PINES EXTENDED CARE FACILITY
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
1314000000XSkilled Nursing Facility0382MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1225531OTHERMAOSCAR CERTIFICATION
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1215924147
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUDBURY PINES EXTENDED CARE FACILITY
Provider Business Mailing Address
First Line : 642 BOSTON POST RD
Second Line :
City : SUDBURY
State : MA
Zip : 01776-3302
Country : US
Telephone Number : 978-443-9000
Fax Number : 978-443-9510
Provider Business Practice Location Address
First Line : 642 BOSTON POST RD
Second Line :
City : SUDBURY
State : MA
Zip : 01776-3302
Country : US
Telephone Number : 978-443-9000
Fax Number : 978-443-9510
Authorized Official
Title or Position : ADMINISTRATOR
Name : MS. ROBERTA C HENDERSON
Credential : NHA
Telephone Number : 978-443-9000
Provider Enumeration Date : 10/05/2005
Last Update Date : 03/28/2012

Similar Medicare Providers

1811024664 — SUDBURY PINES EXTENDED CARE FACILITY
Practice Location Address:
642 BOSTON POST RD
SUDBURY, MA
01776-3302
Practice Phone: 617-512-6625
Practice Fax: 978-443-9510
1205950532 — JANET L HADLEY COTA
Practice Location Address:
642 BOSTON POST RD
SUDBURY, MA
01776-3302
Practice Phone: 978-443-9000
Practice Fax:
1265551733 — SUDBURY PINES EXTENDED CARE FACILITY
Practice Location Address:
642 BOSTON POST RD
SUDBURY, MA
01776-3302
Practice Phone: 978-443-9000
Practice Fax: 978-443-9510
1689795452 — SANDRA LYNN GILLIS-ARDEN CCC-SLP
Practice Location Address:
642 BOSTON POST RD
SUDBURY, MA
01776-3302
Practice Phone: 978-443-9000
Practice Fax:
1871614495 — DARCEY RICE PTA
Practice Location Address:
642 BOSTON POST RD
SUDBURY, MA
01776-3302
Practice Phone: 978-443-9000
Practice Fax:
1114152030 — MRS. JULIE A BINKEWICZ MS, PT
Practice Location Address:
642 BOSTON POST RD
SUDBURY, MA
01776-3302
Practice Phone: 978-443-9000
Practice Fax:

Directions to “SUDBURY PINES EXTENDED CARE FACILITY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.