Vero Health XII, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

VERO HEALTH XII, LLC

Doing business as

Vero Health & Rehab of Wilbraham

Practice address

9 Maple St
Wilbraham, MA 01095-1730

Phone

(413) 596-2411

NPI assigned

Mar 27, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Eamonn D Reilly

Title

Ceo

Phone

(410) 992-0500

Specialties & licenses 1

Addresses

Other names 1

• Vero Health & Rehab of Wilbraham Doing business as

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

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581292800000",
    "number": "1336600923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10500 LITTLE PATUXENT PKWY STE 300",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443522",
            "telephone_number": "410-992-0500",
            "fax_number": "443-539-7657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MAPLE ST",
            "city": "WILBRAHAM",
            "state": "MA",
            "postal_code": "010951730",
            "telephone_number": "413-596-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERO HEALTH XII, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-27",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A",
        "authorized_official_last_name": "REILLY",
        "authorized_official_first_name": "EAMONN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-992-0500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vero Health & Rehab of Wilbraham",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vero Health & Rehab of Wilbraham",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• George Frank Vitek, MD
• Ariel Voldarski
• Susan Vollrath, CRNA
• Douglas Wallace
• Annabel Mukhwana Wangamati

• Skilled Nursing Facility in Wilbraham, MA
• Providers in Wilbraham, MA by specialty
• Skilled Nursing Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; 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.