Roscommon Healthcare Brook Farm Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

ROSCOMMON HEALTHCARE BROOK FARM INC.

Practice address

1190 VFW Pkwy
West Roxbury, MA 02132-4208

Phone

(617) 325-1688

Fax

(617) 469-5673

NPI assigned

Oct 27, 2006

Organization subpart

No

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

Authorized official

Name

Mr. John P Burke, CPA

Title

Cfo/Owner

Phone

(617) 325-1688

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Roscommon On the Parkway Doing business as

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410739200000",
    "number": "1447336029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 VFW PKWY",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021324208",
            "telephone_number": "617-325-1688",
            "fax_number": "617-469-5673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 VFW PKWY",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021324208",
            "telephone_number": "617-325-1688",
            "fax_number": "617-469-5673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSCOMMON HEALTHCARE BROOK FARM INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2014-09-15",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CFO/OWNER",
        "authorized_official_telephone_number": "617-325-1688",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0929301",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roscommon On the Parkway",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thomas Peter Rocco, M.D.
• James William Roche, R.PH.
• Griffin Rogers, PA-C
• Jayna Elizabeth Rogers, P.T.
• Beth Ann Rontal, MSW
• Roscommon Healthcare West Roxbury Inc.
• Marea Ross
• Nikki Rouille, DPT
• Roumani Cosmetic Dental Services
• Riley Rousakis, MS OTR/L

• Skilled Nursing Facility in West Roxbury, MA
• Providers in West Roxbury, 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 Sep 15, 2014; 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.