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NPI 1164948261 · live from the CMS NPI Registry

100 West Street Operator LLC

Skilled Nursing Facility in Needham, MA. National Provider Identifier 1164948261, active.

NPI record

NPI1164948261 Type 2 · organization
StatusActive
Primary specialtySkilled Nursing Facility 314000000X
Practice location100 West St, Needham, MA 02494
Practice phone781-234-6300
EnumeratedAugust 21, 2017
Last updatedJuly 21, 2022
Authorized officialWilliam Stephan, Cfo
Other namesNeedham Healthcare

Taxonomies and licenses

TaxonomyCodeLicense
Skilled Nursing Facility primary314000000X— (MA)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.