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120 Main Street Operator LLC

Skilled Nursing Facility in Malden, MA · enumerated 2017 · authorized official William Stephan, Chief Financial Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1558890939

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Registry record

Entity type Organization (Type 2)
Legal business name 120 Main Street Operator LLC
Parent organization Next Step Healthcare LLC
Practice address 120 Main St, Malden, MA, 02148
Fax (781) 324-7309
Enumeration date Jun 8, 2017
Last updated in NPPES Jun 8, 2017

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities Primary

Authorized official

Name William Stephan
Title Chief Financial Officer

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for 120 Main Street Operator LLC?
NPPES lists William Stephan (Chief Financial Officer) as the authorized official for this organization.
What is the NPI number for 120 Main Street Operator LLC?
The NPI for 120 Main Street Operator LLC is 1558890939, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-06-08.