Lighthouse of Revere, Inc
Lighthouse of Revere, Inc is a Skilled Nursing Facility in Revere, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2005.
- Licensed in
- MA
- In the registry since
- 2005
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
204 Proctor AveRevere, MA 02151-4923 Not confirmed with CMS for 18 years — call before visiting
Phone: (781) 286-3100
Fax: (781) 286-4109
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Skilled Nursing Facility (primary) | Taxonomy 314000000X · Licence 0880 (MA) |
|---|
Record details
| NPI number | 1699772376 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Roger Marks — Administrator · (781) 286-3100 |
| Other names | Lighthouse Nursing Care Center |
| NPI enumerated | July 7, 2005 |
| Last updated in NPPES | July 24, 2008 |
| Mailing address | 204 Proctor Ave, Revere, MA 02151-4923 |
Clinicians affiliated with this facility
- Dr. Saira Nisar, MD Internal Medicine Physician · Fall River, MA
- Lianna L Partee, NP-C Nurse Practitioner · Medford, MA
- Dr. Mariko K Wong, MD Internal Medicine Physician · Everett, MA
Other providers in Revere
-
Annemark Nursing Home, Inc
133 Salem St, Revere, MA 02151-1114 · (781) 322-4861
-
Lighthouse Operator LLC
204 Proctor Ave, Revere, MA 02151-4923 · (781) 286-3100
-
Vero Health Xvii, LLC
133 Salem St, Revere, MA 02151-1114 · (781) 322-4861
-
West Revere Health Center, LLC
133 Salem St, Revere, MA 02151-1114 · (781) 322-4861