NORTHWOOD MA SNF LLC


Address: 1010 Varnum Avenue, Lowell, MA 01854
Phone: 9784588773

NORTHWOOD MA SNF LLC (NPI# 1760426282) 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) 1760426282
Entity Type Organization
Organization Name NORTHWOOD MA SNF LLC
Other Organization Name NORTHWOOD REHABILITATION & HEALTH CARE CENTER
Practice Address 1010 Varnum Avenue
Lowell
MA 01854
Mailing Address 1010 Varnum Ave
Lowell
MA 01854-1915
Practice Telephone 9784588773
Practice Fax Number 9784586366
Mailing Telephone 5088794050
Mailing Fax Number 5088791534
Enumeration Date 2006-06-15
Last Update Date 2012-12-20
Authorized Official Name MR. PAUL B KEMP (CHIEF FINANICAL OFFICER)
Authorized Official Telephone 5088794050
Is Organization Subpart Y
Parent Organization Name ATHENA HEALTH CARE ASSOCIATES, INC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility 0838 MA Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MA EVERCARE PROV # 7100155 01
MA FALLON VENDOR CODE 249 01
MA 110094540A 05
MA TUFTS MEDICARE PREFERRED 914985 01
MA BC/BS OF MA PROVIDER NUMB 2222529801 01
MA HARVARD PILGRIM PROV NUMB 907339 01

Other Provider/Organization Names

Other Name Type Code
Northwood Rehabilitation & Health Care Center Doing Business As Name - Organization

Office Location

Street Address 1010 VARNUM AVENUE
City LOWELL
State MA
Zip Code 01854

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780224246 Alexander C Mellin Specialist/Technologist Costello Athletic Center, 275 Riverside Street, Lowell, MA 01854 2020-01-13
1831656131 Shaquilla U Terry Behavior Technician 810 Broadway St, Apt 5, Lowell, MA 01854 2019-02-23
1073010187 John R Dunn Counselor Lowell House Inc, 555 Merrimack Street, Lowell, MA 01854 2018-04-06
1730604661 Grecia Aybar Counselor 11 White Street, Lowell, MA 01854 2017-08-11
1659812550 Krystal Demmons Counselor 371 Varnum Ave, Lowell, MA 01854 2017-03-13
1891115366 Stacey Bourbeau Counselor 391 Varnum Avenue Lower Level, Lowell, MA 01854 2014-04-23
1013270446 Alexandra Miniati Internal Medicine 275 Varnum Ave Riverside Medical Group, Ste 201, Lowell, MA 01854 2012-06-20
1750608923 Elisha S Bartlett Social Worker 391 Varnum Avenue, Lowell, MA 01854 2010-04-28
1871820399 Sandy Ann Thongkhamsouk Counselor 391 Varnum St., Lowell, MA 01854 2009-11-04
1427299007 Kristin A. Larson Nurse Practitioner 220 Pawtucket St Suite 300, University Crossing, Lowell, MA 01854 2009-03-12
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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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952726663 Hancock Regional Hospital Skilled Nursing Facility 18275 S Burr St, Lowell, IN 46356-0020 2014-03-04
1033486394 Dyouville Transitional Care Inc Skilled Nursing Facility 1071 Varnum Ave, Lowell, MA 01854-1913 2011-11-30
1235298514 The Health and Hospital Corporation of Marion County Skilled Nursing Facility 710 Michigan Ave, Lowell, IN 46356 2006-12-06
1588690366 Town & Country Nursing Center Skilled Nursing Facility 259 Baldwin St, Lowell, MA 01851-2211 2006-06-24
1114960515 Willow Manor Nursing Home, Inc. Skilled Nursing Facility 30 Princeton Blvd, Lowell, MA 01851-2405 2006-06-14
1487692927 Asl, Inc. Skilled Nursing Facility 841 Merrimack St, Lowell, MA 01854-3500 2006-06-04
1639124308 Laurel Health Care Company of Lowell Skilled Nursing Facility 350 N Center St, Lowell, MI 49331-1212 2006-05-23
1720037468 Senior Residential Care/lowell, Inc. Skilled Nursing Facility 500 Wentworth Ave, Lowell, MA 01852-4937 2006-05-09
1538159785 19 Varnum Street Operating Co,llc Skilled Nursing Facility 19 Varnum St, Lowell, MA 01850-2132 2005-10-27
1639166721 Fairhaven Nursing Skilled Nursing Facility 476 Varnum Ave, Lowell, MA 01854-2122 2005-10-04
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City LOWELL
Zip Code 01854

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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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