NPI 1295734911 · live from the CMS NPI Registry
57 Old Road To Nine Acre Corner Operating Company, LLC
Skilled Nursing Facility in Concord, MA. National Provider Identifier 1295734911, active.
NPI record
| NPI | 1295734911 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 57 Old Road To 9 Acre Corner, Concord, MA 01742 |
| Practice phone | 978-371-3400 |
| Enumerated | July 14, 2005 |
| Last updated | December 15, 2023 |
| Authorized official | Emily Vazquez, Vp, Special Projects |
| Other names | Concord Healthcare Center |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | 0983 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.