| Organization Name: | 4499 ACUSHNET AVENUE OPERATING COMPANY, LLC |
| NPI Number: | 1164477055 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRAD HOLLINGER (PRESIDENT CEO) |
| Mailing Address: | 4499 Acushnet Ave New Bedford |
| State: | MA US |
| Postal Code: | 027454707 |
| Phone Number: | 5089956900 |
| Fax Number: | 5089859615 |
| NPI Enumeration Date: | 05/23/2006 |
| NPI Last Update Date: | 07/11/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282E00000X |
| License Number: | 079 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | Long Term Care Hospital |
| Taxonomy Specialization: | |
| Taxonomy Definition: | Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. |