Stonehedge Ma SNF LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

STONEHEDGE MA SNF LLC

Doing business as

Stonehedge Health Care Center

Practice address

5 Redlands Rd
West Roxbury, MA 02132-1506

Phone

(617) 327-6325

Fax

(617) 327-8204

NPI assigned

Oct 26, 2010

Last updated

Oct 2, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

ATHENA HEALTH CARE SYSTEMS MA LLCAs reported in NPPES

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

Authorized official

Name

Mr. Michael E Mosier

Title

Cfo

Phone

(860) 751-3900

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Stonehedge Health Care Center Doing business as

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

{
    "created_epoch": "1288051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349136000000",
    "number": "1093015935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 SOUTH RD",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322556",
            "telephone_number": "860-751-3900",
            "fax_number": "860-751-3905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 REDLANDS RD",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021321506",
            "telephone_number": "617-327-6325",
            "fax_number": "617-327-8204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONEHEDGE MA SNF LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ATHENA HEALTH CARE SYSTEMS MA LLC",
        "enumeration_date": "2010-10-26",
        "last_updated": "2012-10-02",
        "status": "A",
        "authorized_official_last_name": "MOSIER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "860-751-3900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110087945A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stonehedge Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christina Stavrakas, CCC-SLP
• Hannah Steere, MD
• Stephen V McLaughlin DMD
• Shelley Lois Stevens, M.A. CCC/SLP
• Cara Lynn Stockman, DPT, PT
• Elizabeth Stpierre, LICSW
• Emily Strange, LICSW
• Judith Marjory Strymish, MD
• Yu Su, OD
• Amanda Sullivan, MOTR/L

• Skilled Nursing Facility in West Roxbury, MA
• Providers in West Roxbury, 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 Oct 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.