Provider Demographics
NPI:1053335836
Name:SHAUGHNESSY-KAPLAN REHABILITATION HOSPITAL INC
Entity type:Organization
Organization Name:SHAUGHNESSY-KAPLAN REHABILITATION HOSPITAL INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO, PARTNERS CONTINUING CARE
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:E
Authorized Official - Last Name:SHAUGHNESSY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-724-2516
Mailing Address - Street 1:1 DOVE AVE
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:MA
Mailing Address - Zip Code:01970-2944
Mailing Address - Country:US
Mailing Address - Phone:978-745-9003
Mailing Address - Fax:978-740-4730
Practice Address - Street 1:1 DOVE AVE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970-2944
Practice Address - Country:US
Practice Address - Phone:978-745-9003
Practice Address - Fax:978-740-4730
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-26
Last Update Date:2010-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2336282E00000X, 314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282E00000XHospitalsLong Term Care Hospital
No314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1206591Medicaid
MA225244Medicare Oscar/Certification
MA222026Medicare Oscar/Certification