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NPI Code Detail

MEDICARE: HEARTHSTONE AT GOLDEN POND INC

MEDICARE: HEARTHSTONE AT GOLDEN POND 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
1310400000XAssisted Living FacilityMA

Other Identifiers

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

General Provider Information

NPI Number : 1922097344
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEARTHSTONE AT GOLDEN POND INC
Provider Business Mailing Address
First Line : 23 WARREN AVE
Second Line : STE 140
City : WOBURN
State : MA
Zip : 01801-4979
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 50 W MAIN ST
Second Line :
City : HOPKINTON
State : MA
Zip : 01748-1672
Country : US
Telephone Number : 508-435-0222
Fax Number : 508-435-6709
Authorized Official
Title or Position : CEO
Name : JOAN HYDE
Credential : MD
Telephone Number : 731-674-2884
Provider Enumeration Date : 10/18/2005
Last Update Date : 07/21/2022

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Directions to “HEARTHSTONE AT GOLDEN POND INC ” Practice Location

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