Organization Active NPI

Needham Rehabilitation & Nursing Center LLC

  • Skilled Nursing Facility
  • Needham, MA
National Provider Identifier
1124014469
Registry record updated Jun 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0784 Issued in MA
Legal business name
NEEDHAM REHABILITATION & NURSING CENTER LLC
Practice address
150 Lincoln St
Needham, MA 02492-2914
Phone
(781) 449-4040
Fax
(781) 449-4129
NPI assigned
Sep 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2009

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

Authorized official

Name
Mr. Walter M Collins
Title
Administrator
Phone
(781) 449-4040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0784 MA Primary

Addresses

Primary practice location

150 Lincoln St
Needham, MA 02492-2914

Mailing address

150 Lincoln St
Needham, MA 02492-2914
Phone (781) 449-4040

Other identifiers 1

IdentifierTypeStateIssuer
0929263MedicaidMA

Other names 1

  • Briarwood Healthcare & Nursing Center Doing business as

National Provider Directory

National Provider Directory

Locations

150 Lincoln St
Needham, MA 02492
Phone (781) 449-4040

NPI Registry JSON

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244073600000",
    "number": "1124014469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 LINCOLN ST",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024922914",
            "telephone_number": "781-449-4040",
            "fax_number": "781-449-4129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 LINCOLN ST",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024922914",
            "telephone_number": "781-449-4040",
            "fax_number": "781-449-4129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEEDHAM REHABILITATION & NURSING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-22",
        "last_updated": "2009-06-04",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "781-449-4040",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "0784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0929263",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Briarwood Healthcare & Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Needham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2009; 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.