Andover Manor Rehab and Nursing LLC
NPI 1508543331ActiveOrganization· Skilled Nursing Facility· Andover, MA
Skilled Nursing Facility in Andover, Massachusetts, registered in NPPES in July 2023. The authorized official on file is Benjamin Friedman, Cfo. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1508543331 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 3, 2023 |
| Last updated in NPPES | Aug 15, 2023 |
| Certified by provider | Aug 15, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (MA) |
|---|
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