120 Main Street Operator LLC
NPI 1558890939ActiveOrganization· Skilled Nursing Facility· Malden, MA
Skilled Nursing Facility in Malden, Massachusetts, registered in NPPES in June 2017, part of Next Step Healthcare LLC. The authorized official on file is William Howard Stephan, Chief Financial Officer. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1558890939 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Next Step Healthcare LLC |
| NPI issued | Jun 8, 2017 |
| Last updated in NPPES | Jun 8, 2017 |
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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