NPIMap

Organization Active NPI

Milton Healthcare LLC

  • Skilled Nursing Facility
  • Milton, MA
National Provider Identifier
1184661043
Registry record updated Aug 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0859 Issued in MA
Legal business name
MILTON HEALTHCARE LLC
Doing business as
Milton Health Care
Practice address
1200 Brush Hill Rd
Milton, MA 02186-2337
Phone
(617) 333-0600
Fax
(617) 361-8175
NPI assigned
Jun 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2015

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

Authorized official

Name
Brian D. Freedman
Title
Manager
Phone
(617) 333-0600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0859 MA Primary

Addresses

Primary practice location

1200 Brush Hill Rd
Milton, MA 02186-2337

Mailing address

1200 Brush Hill Rd
Milton, MA 02186-2337
Phone (617) 333-0600

Other identifiers 2

IdentifierTypeStateIssuer
0940569MedicaidMA
110026655BMedicaidMA

Other names 1

  • Milton Health Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Milton HC Operating LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440633600000",
    "number": "1184661043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 BRUSH HILL RD",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021862337",
            "telephone_number": "617-333-0600",
            "fax_number": "617-361-8175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 BRUSH HILL RD",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021862337",
            "telephone_number": "617-333-0600",
            "fax_number": "617-361-8175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILTON HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2015-08-27",
        "status": "A",
        "authorized_official_last_name": "FREEDMAN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "617-333-0600"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "0859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0940569",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110026655B",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Milton Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2015; 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.