Stoughton Senior Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

STOUGHTON SENIOR LIVING LLC

Doing business as

Brookmeadow at Blue Hills

Practice address

2121 Central St
Stoughton, MA 02072-6146

Phone

(248) 680-7180

NPI assigned

Dec 27, 2022

Organization subpart

Yes

Parent organization

STOUGHTON SENIOR LIVING REAL ESTATE LLCAs reported in NPPES

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

Authorized official

Name

Matthew Coughenour

Title

Authorized Representative

Phone

(248) 891-6003

Specialties & licenses 1

Addresses

Other names 1

• Brookmeadow at Blue Hills Doing business as

Part of

Stoughton Senior Living LLC

Locations

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

{
    "created_epoch": "1672099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679961600000",
    "number": "1255044046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W BIG BEAVER RD STE 200",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480845255",
            "telephone_number": "248-680-7180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 CENTRAL ST",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020726146",
            "telephone_number": "248-680-7180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOUGHTON SENIOR LIVING LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STOUGHTON SENIOR LIVING REAL ESTATE LLC",
        "enumeration_date": "2022-12-27",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A",
        "authorized_official_last_name": "COUGHENOUR",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "248-891-6003"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookmeadow at Blue Hills",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brookmeadow at Blue Hills",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stoughton Dentistry, LLC
• Stoughton Massage Therapy, Inc
• Stoughton Nursing LLC (Goddard Rehabilitation and Nursing Center)
• Stoughton Opco, LLC (Blue Hills Health and Rehabilitation Center)
• Stoughton Optometric Care Inc
• Robert Striglio, CRNA
• Matthew Stuhl
• Gena Su
• Megan Sueltenfuss II
• Sully Adult Day Health LLC.

• Assisted Living Facility in Stoughton, MA
• Providers in Stoughton, MA by specialty
• Assisted Living Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; 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.