199 Andover Street Operating Company, LLC
NPI 1770581555ActiveOrganization· Skilled Nursing Facility· Peabody, MA
Skilled Nursing Facility in Peabody, Massachusetts, registered in NPPES in July 2005. The authorized official on file is Emily Vazquez, Vp, Special Projects. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1770581555 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 14, 2005 |
| Last updated in NPPES | Dec 15, 2023 |
| Certified by provider | Dec 15, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | 0900 | MA |
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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