Organization Active NPI

Wachusett Healthcare Management Company, LLC

Doing business as Wachusett Healthcare

  • Skilled Nursing Facility
  • Wellesley Hills, MA
National Provider Identifier
1386193845
Registry record updated Sep 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
WACHUSETT HEALTHCARE MANAGEMENT COMPANY, LLC
Doing business as
Wachusett Healthcare
Practice address
36 Washington St
Suite 190
Wellesley Hills, MA 02481-1900
Phone
(781) 943-3104
NPI assigned
Sep 26, 2016
Organization subpart
Yes
Parent organization
WACHUSETT VENTURES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 26, 2016

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

Authorized official

Name
Mr. Raymond A. Dennehy III
Title
Principal
Phone
(978) 886-3336

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

36 Washington St
Suite 190
Wellesley Hills, MA 02481-1900

Mailing address

36 Washington St
Suite 190
Wellesley Hills, MA 02481-1900
Phone (781) 943-3104

Other names 1

  • Wachusett Healthcare Doing business as

National Provider Directory

National Provider Directory
Part of
Wachusett Ventures LLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1474848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474848000000",
    "number": "1386193845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 WASHINGTON ST",
            "address_2": "SUITE 190",
            "city": "WELLESLEY HILLS",
            "state": "MA",
            "postal_code": "024811900",
            "telephone_number": "781-943-3104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 WASHINGTON ST",
            "address_2": "SUITE 190",
            "city": "WELLESLEY HILLS",
            "state": "MA",
            "postal_code": "024811900",
            "telephone_number": "781-943-3104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WACHUSETT HEALTHCARE MANAGEMENT COMPANY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WACHUSETT VENTURES, LLC",
        "enumeration_date": "2016-09-26",
        "last_updated": "2016-09-26",
        "status": "A",
        "authorized_official_last_name": "DENNEHY",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "978-886-3336",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wachusett Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wellesley Hills, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2016; 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.