Cameron House Assisted Living

Organization Active NPI Assisted Living Facility · Lenox, MA

NPI 1295951226 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1295951226
Entity type
Organization (NPI type 2)
Primary specialty
Assisted Living Facility 310400000X
Legal business name
CAMERON HOUSE ASSISTED LIVING
Practice address
109 Housatonic St
Lenox, MA 01240-2633
Phone
(413) 637-3100
NPI assigned
Apr 18, 2007
Organization subpart
No

Authorized official

Name
Christopher Shaun Gallagher, RN
Title
Executive Director
Phone
(413) 637-3100

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Cameron House (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X MA Yes

Addresses

Primary practice location

109 Housatonic St
Lenox, MA 01240-2633

Mailing address

109 Housatonic St
Lenox, MA 01240-2633
Phone (413) 637-3100

Other identifiers

IdentifierTypeStateIssuer
1900072MedicaidMA

Other providers in Lenox, MA

All providers in Lenox, MA · Assisted Living Facility in Massachusetts

Sources for this page

Verify at the official NPI Registry.