620 Laurel Street Operator LLC
NPI 1902322001ActiveOrganization· Skilled Nursing Facility· Lee, MA
Skilled Nursing Facility in Lee, Massachusetts, registered in NPPES in August 2017. The authorized official on file is William H. Stephan, Cfo. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1902322001 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 21, 2017 |
| Last updated in NPPES | Jul 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | 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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