Mbo Corporation

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0619 Issued in MA

Legal business name

MBO CORPORATION

Doing business as

Nemasket Healthcare Center

Practice address

314 Marion Rd
Middleboro, MA 02346-3104

Phone

(508) 947-8632

NPI assigned

Jul 7, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Philip M Arcidi

Title

VP of Finance

Phone

(978) 556-5900

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• NEMASKET HEALTHCARE CENTER Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jordan Craig Gularek, D.O.

  • Internal Medicine Physician
  • Dartmouth, MA
  • NPI 1346571098
  NPD (past)
• Julianne Huynh Hetzler, D.O.

  • Internal Medicine Physician
  • Fall River, MA
  • NPI 1477794170
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174555635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 RAILROAD SQ",
            "address_2": "SUITE 302",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018325721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 MARION RD",
            "city": "MIDDLEBORO",
            "state": "MA",
            "postal_code": "023463104",
            "telephone_number": "508-947-8632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MBO CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ARCIDI",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "978-556-5900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "0619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0929336",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE",
            "identifier": "7101242",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEMASKET HEALTHCARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa Margarit, MA
• Ashlynn Marie Marlowe-Sequeira, BS
• Anders Martenson III, MD
• Katelyn Martin
• Mary Beth Dawicki
• Erica Solange McCaffrey
• Sarah May McCaffrey
• Kelli Ann McCarthy
• Jeanne D McDonald
• Brendan Loughnane McKenna, LCSW

• Skilled Nursing Facility in Middleboro, MA
• Providers in Middleboro, MA by specialty
• Skilled Nursing Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.