19 VARNUM STREET OPERATING COMPANY, LLC (NPI# 1881692663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881692663 |
| Entity Type | Organization |
| Organization Name | 19 VARNUM STREET OPERATING COMPANY, LLC |
| Other Organization Name | LOWELL HEALTH CARE CENTER |
| Practice Address |
19 Varnum Street Lowell MA 01850 |
| Practice Telephone | 9784545644 |
| Practice Fax Number | 9784597367 |
| Mailing Telephone | 9784545644 |
| Mailing Fax Number | 9784597367 |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2015-08-13 |
| Authorized Official Name | MR. A. ALBERTO LUGO (EXECUTIVE VP & GENERAL COUNSEL) |
| Authorized Official Telephone | 2012424000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | MA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | 0926892 | 05 |
| Other Name | Type Code |
|---|---|
| Lowell Health Care Center | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | 19 VARNUM STREET OPERATING COMPANY, LLC | 173 Bridge Plaza North, Fort Lee, NJ 07024 |
| Street Address |
19 VARNUM STREET |
| City | LOWELL |
| State | MA |
| Zip Code | 01850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730654344 | Patti-jean Corrente | Social Worker | S. Christa Mcauliffe Shool 570 Beacon Street, Lowell, MA 01850 | 2018-10-10 |
| 1144719030 | Diana Lacen | Behavioral Analyst | 31 Dundee St, # B, Lowell, MA 01850 | 2018-05-07 |
| 1205297553 | James K Njunge | Licensed Practical Nurse | 23 Desrosiers St, Lowell, MA 01850 | 2016-03-15 |
| 1467870915 | Frederick Michael Scibelli Jr. | Behavioral Analyst | 64 Farmland Rd, Lowell, MA 01850 | 2014-04-02 |
| 1942422555 | John Capino,mdpc | Durable Medical Equipment & Medical Supplies | 1230 Bridge St., Lowell, MA 01850 | 2007-05-03 |
| 1871710491 | William Henry Rouine | Pharmacist | 1231 Bridge St, Lowell, MA 01850 | 2007-04-18 |
| 1922522234 | Daniel Kamau Mwangi | Registered Nurse | 166 Central St, Lowell, MA 01850 | 2017-07-28 |
| 1750778700 | Michelle G. Mazzarelli | Occupational Therapist | 1230 Bridge St, Suite 2, Lowell, MA 01850 | 2015-04-16 |
| 1225157175 | Bedabrata Sarkar | Surgery | 41 Mall Road, Lahey Hospital and Medical Center, Burlington, MA 01850 | 2007-03-29 |
| 1619030640 | Marie Dupic-washburn | Emergency Medicine | 1230 Bridge St, Lowell, MA 01850 | 2006-12-19 |
| Find all providers in zip 01850 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (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. |
| 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 |
| 1760426282 | Northwood Ma Snf LLC | Skilled Nursing Facility | 1010 Varnum Avenue, Lowell, MA 01854 | 2006-06-15 |
| 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 |
| Find all providers in LOWELL | ||||
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| 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.