Organization Active NPI

Brockton Health Center, LLC

  • Skilled Nursing Facility
  • Brockton, MA
National Provider Identifier
1265837884
Registry record updated Oct 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
BROCKTON HEALTH CENTER, LLC
Practice address
2 Beaumont Ave
Brockton, MA 02302
Phone
(508) 588-8550
NPI assigned
Oct 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2015

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

Authorized official

Name
Avi Lipschutz
Title
Principal
Phone
(732) 710-4431

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2 Beaumont Ave
Brockton, MA 02302

Mailing address

2363 Lakewood Rd
Floor 2
Toms River, NJ 08755

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1414108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444608000000",
    "number": "1265837884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2363 LAKEWOOD RD",
            "address_2": "FLOOR 2",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "08755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 BEAUMONT AVE",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "02302",
            "telephone_number": "508-588-8550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROCKTON HEALTH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-24",
        "last_updated": "2015-10-12",
        "status": "A",
        "authorized_official_last_name": "LIPSCHUTZ",
        "authorized_official_first_name": "AVI",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "732-710-4431"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.