OrganizationActive
120 Main Street Operator LLC
NPI 1558890939 · Skilled Nursing Facility · Malden, MA
Provider details
- NPI number
- 1558890939
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Parent organization
- Next Step Healthcare LLC
- Authorized official
- William Stephan, Chief Financial Officer
Practice location
120 Main St
Malden, MA 02148-6904
Phone: (781) 324-5600
Fax: (781) 324-7309
Mailing address
75 2nd Ave Ste 605
Needham, MA 02494-2863
Registry dates
- Enumerated
- 2017-06-08
- Last updated
- 2017-06-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.