Organization
NEW ENGLAND LONG TERM CARE, INC.
Active
Other names
New England Pediatric Care
Organization subpart
No
Provider details
NPI number
Authorized official
ELLEN J. O'GORMAN NHA (EXECUTIVE DIRECTOR)
(978) 667-5123
Entity
Organization
Contact information
Practice address
78 BOSTON RD, BILLERICA, MA 01862-1034
(978) 667-5123
(978) 663-5154
Mailing address
78 BOSTON RD, N BILLERICA, MA 01862-1034
(978) 667-5123
(978) 663-5154
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0756
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0020348
NEIGHBORHOOD HEALTH PLAN
—
05
—
0930377
—
MA
01
—
2222599901
BC/BS - MEDICARE BLUE
MA
01
—
2222599902
BC/BS-IND/PPO/VENT
MA
01
—
2222599910
BC/BS - OUTPATIENT REHAB
MA
01
—
551849
AETNA-HMO
—
01
—
710039
TUFTS
—
01
—
904729
HARVARD PILGRIM
—
Enumeration date
06/29/2006
Last updated
08/22/2020
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