Organization
NORTHWOOD MA SNF LLC
Active
Parent organization
ATHENA HEALTH CARE ASSOCIATES, INC
Other names
Northwood Rehabilitation & Health Care Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
ATHENA HEALTH CARE ASSOCIATES, INC
Authorized official
LAWRENCE G. SANTILLI (MANAGER)
(860) 751-3900
Entity
Organization
Contact information
Practice address
1010 VARNUM AVENUE, LOWELL, MA 01854
(978) 458-8773
(978) 458-6366
Mailing address
1010 VARNUM AVE, LOWELL, MA 01854-1915
(508) 879-4050
(508) 879-1534
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0838
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110094540A
—
MA
01
—
2222529801
BC/BS OF MA PROVIDER NUMB
MA
01
—
249
FALLON VENDOR CODE
MA
01
—
7100155
EVERCARE PROV #
MA
01
—
907339
HARVARD PILGRIM PROV NUMB
MA
01
—
914985
TUFTS MEDICARE PREFERRED
MA
Enumeration date
06/15/2006
Last updated
02/16/2023
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