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Cpl (Glen Ridge) LLC

Skilled Nursing Facility in Medford, MA · enumerated 2005 · authorized official Carole Scillia, LLC Manager.

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

National Provider Identifier

1760479349

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Registry record

Entity type Organization (Type 2)
Legal business name Cpl (Glen Ridge) LLC
Other name <Unavail>
Parent organization New Jersey Subacute LLC
Practice address 120 Murray Street, Medford, MA, 02155
Fax (781) 391-9127
Enumeration date Sep 29, 2005
Last updated in NPPES Jul 27, 2011

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities Secondary
314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License 0919 (MA) Primary

Authorized official

Name Carole Scillia
Title LLC Manager

Other identifiers

Identifier Type State Issuer
22225523 Other MA BLUE CROSS BLUE SHIELD
907769 Other MA HARVARD PILGRIM
982256 Other MA TUFTS HMO
7100014 Other MA EVERCARE
0940054 Medicaid MA -

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

What type of organization is Cpl (Glen Ridge) LLC?
Cpl (Glen Ridge) LLC is registered in NPPES as a Skilled Nursing Facility (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-07-27.