Hathaway Manor Nursing, LLC
Skilled Nursing Facility in New Bedford, MA. Organization (NPI-2).
NPI number1700909249
StatusActive
Last updated in NPPESJan 6, 2023
Details
- NPI
- 1700909249
- Entity type
- Organization (NPI-2)
- Legal business name
- Hathaway Manor Nursing, LLC
- Organization subpart
- No
- Enumeration date
- Apr 9, 2007
- Certification date
- Jan 6, 2023
- Last updated
- Jan 6, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | 0902 | MA | Yes |
Other names
- Hathaway Manor Extended Care Facility (Doing Business As)
Practice location
863 Hathaway RdNew Bedford, MA 02740-1916
Phone 508-996-6763 · Fax 508-996-8596
Mailing address
75 North St Ste 210Pittsfield, MA 01201-5126
Authorized official
William C Jones
President
4134472996
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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