Organization
DEUTSCHES ALTENHEIM INC.
Active
Other names
German Centre for Extended Care, Senior Place Adult Day Health, Edelweiss Village
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL B LINCOLN (CEO)
(617) 325-1230
Entity
Organization
Contact information
Practice address
2222 CENTRE ST, WEST ROXBURY, MA 02132-4034
(617) 325-1230
(617) 323-7523
Mailing address
2222 CENTRE ST, WEST ROXBURY, MA 02132-4034
(617) 325-1230
(617) 323-7523
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
—
MA
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
310400000X
Assisted Living Facility
—
—
314000000X
Skilled Nursing Facility
Primary
0740
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0908908
—
MA
01
—
2222554001
BLUC CROSS
MA
01
—
2222554010
BLUE CROSS OUT PATIENT
MA
01
—
7100048
EVERCARE
MA
01
—
903196
HARVARD PILGRIM
MA
01
—
980667
TUFTS
MA
Enumeration date
06/09/2005
Last updated
09/04/2019
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