100 West Street Operator LLC

Organization Active NPI Skilled Nursing Facility · Needham, MA

NPI 1164948261 · NPPES record last updated Jul 21, 2022

Key facts

NPI
1164948261
Entity type
Organization (NPI type 2)
Primary specialty
Skilled Nursing Facility 314000000X
Legal business name
100 WEST STREET OPERATOR LLC
Practice address
100 West St
Needham, MA 02494-1319
Phone
(781) 234-6300
NPI assigned
Aug 21, 2017
Organization subpart
No

Authorized official

Name
William H Stephan
Title
Cfo
Phone
(617) 943-7747

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X MA Yes

Addresses

Primary practice location

100 West St
Needham, MA 02494-1319

Mailing address

100 West St
Needham, MA 02494-1319
Phone (781) 234-6300

Other names

  • Needham HealthCare Doing business as

Other providers in Needham, MA

All providers in Needham, MA · Skilled Nursing Facility in Massachusetts

Sources for this page

Verify at the official NPI Registry.