SOUTHEAST MA SNF LLC


Address: 184 Lincoln St, Easton, MA 02356-1799
Phone: 5082387053

SOUTHEAST MA SNF LLC (NPI# 1619277050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619277050
Entity Type Organization
Organization Name SOUTHEAST MA SNF LLC
Other Organization Name SOUTHEAST HEALTH CARE CENTER
Practice Address 184 Lincoln St
Easton
MA 02356-1799
Mailing Address 135 South Rd
Farmington
CT 06032-2556
Practice Telephone 5082387053
Practice Fax Number 5082387049
Mailing Telephone 8607513900
Mailing Fax Number 8607513905
Enumeration Date 2010-11-02
Last Update Date 2017-10-26
Authorized Official Name MR. MICHAEL E MOSIER (CFO)
Authorized Official Telephone 8607513900
Is Organization Subpart Y
Parent Organization Name ATHENA HEALTH CARE SYSTEMS MA LLC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MA 110087934A 05

Other Provider/Organization Names

Other Name Type Code
Southeast Health Care Center Doing Business As Name - Organization

Other Data Sources

Entity Type Entity Name Entity Address
Massachusetts Corporations SOUTHEAST MA SNF LLC 184 Lincoln Street, North Easton, MA 02356

Office Location

Street Address 184 LINCOLN ST
City EASTON
State MA
Zip Code 02356-1799

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Taxonomy Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey.

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City EASTON
Zip Code 02356

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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