Provider Demographics
NPI:1871588608
Name:HOLDEN NURSING HOME, INC
Entity type:Organization
Organization Name:HOLDEN NURSING HOME, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:ORIOL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-829-1110
Mailing Address - Street 1:54 BOYDEN RD
Mailing Address - Street 2:
Mailing Address - City:HOLDEN
Mailing Address - State:MA
Mailing Address - Zip Code:01520-2570
Mailing Address - Country:US
Mailing Address - Phone:508-829-1110
Mailing Address - Fax:508-829-1235
Practice Address - Street 1:32 MAYO DR
Practice Address - Street 2:
Practice Address - City:HOLDEN
Practice Address - State:MA
Practice Address - Zip Code:01520-1512
Practice Address - Country:US
Practice Address - Phone:508-829-1110
Practice Address - Fax:508-829-1235
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-19
Last Update Date:2015-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA110025736C313M00000X
314000000X
MA110025736B3140N1450X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
No3140N1450XNursing & Custodial Care FacilitiesSkilled Nursing FacilityNursing Care, Pediatric
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0903256Medicaid
MA110025736CMedicaid
MA110025736BMedicaid
MA225002Medicare Oscar/Certification