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NPI Code Detail

MEDICARE: HOLDEN NURSING HOME, INC

MEDICARE: HOLDEN NURSING HOME, INC
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
13140N1450XPediatric Skilled Nursing Facility110025736BMA
2313M00000XNursing Facility/Intermediate Care Facility110025736CMA
3314000000XSkilled Nursing Facility

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1871588608
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOLDEN NURSING HOME, INC
Provider Business Mailing Address
First Line : 54 BOYDEN RD
Second Line :
City : HOLDEN
State : MA
Zip : 01520-2570
Country : US
Telephone Number : 508-829-1110
Fax Number : 508-829-1235
Provider Business Practice Location Address
First Line : 32 MAYO DR
Second Line :
City : HOLDEN
State : MA
Zip : 01520-1512
Country : US
Telephone Number : 508-829-1110
Fax Number : 508-829-1235
Authorized Official
Title or Position : ADMINISTRATOR
Name : MR. ROBERT ORIOL
Credential :
Telephone Number : 508-829-1110
Provider Enumeration Date : 09/19/2005
Last Update Date : 05/20/2015

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