Revolution Charlwell LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

REVOLUTION CHARLWELL LLC

Practice address

305 Walpole St
Norwood, MA 02062-3021

Phone

(781) 762-7700

NPI assigned

May 6, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Joseph Deutsch

Title

Principal

Phone

(781) 762-7700

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1557100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557100800000",
    "number": "1013572080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 WALPOLE ST",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020623021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 WALPOLE ST",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020623021",
            "telephone_number": "781-762-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVOLUTION CHARLWELL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-06",
        "last_updated": "2019-05-06",
        "status": "A",
        "authorized_official_last_name": "DEUTSCH",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "781-762-7700"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Elizabeth Reilly
• Kelly Reis, PHARMD, RPH
• Reliable Respiratory, Inc.
• Reliable Respiratory, Inc.
• Robert George Renna, M.ED, LMHC
• Salah Reyad, MD
• Kelly Linda Rezzuti, MS, OTR/L, CEIS
• Rhonda R. Pais Licsw, Inc.
• Ashley Richards
• Laurie Jeanne Richardson, M.S. ED, BCBA

• Skilled Nursing Facility in Norwood, MA
• Providers in Norwood, MA by specialty
• Skilled Nursing Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.