LAUREL HILL INN, LTD – NPI #1134270341
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

LAUREL HILL INN, LTD is a community based residential treatment facility located in MEDFORD, MA. NPPES has assigned the NPI number 1134270341 to LAUREL HILL INN, LTD on January 15, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.

The NPI profile was previously updated about 6 years ago on Mar 04, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LAUREL HILL INN, LTD below.

NPI Profile for
LAUREL HILL INN, LTD

NPI Number
1134270341
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LAUREL HILL INN, LTD
Primary location
121 MYSTIC ST
MEDFORD, MA 02155-3463
Phone: (781) 391-8000 Fax: (781) 391-8008
Mailing address
6100 SW 76TH ST
SOUTH MIAMI, FL 33143-5002
Phone: (305) 663-1876 Fax:
Organization Subpart
No
Authorized Official
MIKE BAGLEY
CHIEF FINANCIAL OFFICER
Phone: (305) 663-1876
Updated
Certification Date
Mar 04, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320800000X
- Community Based Residential Treatment Facility, Mental Illness (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.