Provider Demographics
NPI:1083601272
Name:JEWISH REHABILITATION CENTER OF THE NORTH SHORE
Entity type:Organization
Organization Name:JEWISH REHABILITATION CENTER OF THE NORTH SHORE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:FRED
Authorized Official - Middle Name:ERIC
Authorized Official - Last Name:LOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-598-5310
Mailing Address - Street 1:330 PARADISE RD
Mailing Address - Street 2:
Mailing Address - City:SWAMPSCOTT
Mailing Address - State:MA
Mailing Address - Zip Code:01907-2941
Mailing Address - Country:US
Mailing Address - Phone:781-598-5310
Mailing Address - Fax:781-598-6752
Practice Address - Street 1:330 PARADISE RD
Practice Address - Street 2:
Practice Address - City:SWAMPSCOTT
Practice Address - State:MA
Practice Address - Zip Code:01907-2941
Practice Address - Country:US
Practice Address - Phone:781-598-5310
Practice Address - Fax:781-598-6752
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA825313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility