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Organization

TUFTS MEDICAL CENTER PARENT INC

Active
Other names
New England Long Term Care Inc
Organization subpart
No

Provider details

NPI number
Authorized official
LAUREN MAZERALL (PRESIDENT)
(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
251J00000X
Nursing Care Agency
311Z00000X
Custodial Care Facility
313M00000X
Nursing Facility/Intermediate Care Facility
314000000X
Skilled Nursing Facility
0756
MA
3140N1450X
Pediatric Skilled Nursing Facility
Primary
315P00000X
Intellectual Disabilities Intermediate Care Facility

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0020348
NEIGHBORHOOD HEALTH PLAN
05
0924164
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
06/22/2006
Last updated
04/14/2025
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