Active NPI
Marlboro Hills Ma SNF LLC
- Skilled Nursing Facility
- Marlborough, MA
National Provider Identifier
1558886135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0376
- Legal business name
- MARLBORO HILLS MA SNF LLC
- Practice address
- 121 Northboro Rd E
Marlborough, MA 01752-1844 - Phone
- (508) 485-4040
- Fax
- (508) 481-5585
- NPI assigned
- Aug 4, 2017
- Last updated
- Jul 21, 2022
- Organization subpart
- Yes
- Parent organization
- ATHENA HEALTH CARE ASSOCIATES INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lawrence G. Santilli
- Title
- President/Ceo
- Phone
- (860) 751-3900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 0376 | MA | Primary |
Addresses
Primary practice location
121 Northboro Rd E
Marlborough, MA 01752-1844
Mailing address
121 Northboro Rd E
Marlborough, MA 01752-1844
Phone (508) 485-4040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110100244A | Medicaid | MA |
National Provider Directory
National Provider Directory- Tax ID family
- Colonial Health Group-Westridge LLC
- Part of
- Athena Health Care Associates Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Marlborough Hills Healthcare Center
- Skilled Nursing Facility
- Marlborough, MA
- NPI 1457348500
-
- Skilled Nursing Facility
- Webster, MA
- NPI 1275713117
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501804800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1558886135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 NORTHBORO RD E",
"city": "MARLBOROUGH",
"state": "MA",
"postal_code": "017521844",
"telephone_number": "508-485-4040",
"fax_number": "508-481-5585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 NORTHBORO RD E",
"city": "MARLBOROUGH",
"state": "MA",
"postal_code": "017521844",
"telephone_number": "508-485-4040",
"fax_number": "508-481-5585"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARLBORO HILLS MA SNF LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ATHENA HEALTH CARE ASSOCIATES INC",
"enumeration_date": "2017-08-04",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "SANTILLI",
"authorized_official_first_name": "LAWRENCE",
"authorized_official_middle_name": "G.",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "860-751-3900"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MA",
"license": "0376",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110100244A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Marlborough, MA
- Kiara Mark
- Lisa Marie Markham
- Marlboro Dental Care
- Marlboro DMD Group
- Marlboro Hills Ma SNF LLC (Marlborough Hills Rehabilitation & Health Care Center)
- Marlboro Internal Medicine P.C
- Marlboro Orthodontics and Associates
- Marlboro Pediatrics PC
- Marlboro Pediatrics PC
- Marlboro Pharmacy and Wellness Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.