Active NPI
Needham Rehabilitation & Nursing Center LLC
- Skilled Nursing Facility
- Needham, MA
National Provider Identifier
1124014469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0784
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0929263 | Medicaid | MA |
Other names 1
- Briarwood Healthcare & Nursing Center
National Provider Directory
National Provider DirectoryLocations
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.