Organization Active NPI

Jamaica Plain Health Group, LLC

Doing business as Laurel Ridge Rehabilitation and Skilled Care Center

  • Skilled Nursing Facility
  • Boston, MA
National Provider Identifier
1487994893
Registry record updated Jun 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
JAMAICA PLAIN HEALTH GROUP, LLC
Doing business as
Laurel Ridge Rehabilitation and Skilled Care Center
Practice address
174 Forest Hill St
Boston, MA 02130-3353
Phone
(617) 522-1550
NPI assigned
Feb 21, 2013
Last updated
Jun 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2014

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

Authorized official

Name
Patrick Sheehan
Title
Manager
Phone
(508) 754-8877

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

174 Forest Hill St
Boston, MA 02130-3353

Mailing address

26 Harvard St
Worcester, MA 01609-2833
Phone (508) 754-8877

Other names 1

  • Laurel Ridge Rehabilitation and Skilled Care Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jamaica Plain Health Group LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

174 Forest Hills St
Jamaica Plain, MA 02130
Phone (617) 522-1550

NPI Registry JSON

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

{
    "created_epoch": "1361404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402876800000",
    "number": "1487994893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 HARVARD ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016092833",
            "telephone_number": "508-754-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 FOREST HILL ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021303353",
            "telephone_number": "617-522-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMAICA PLAIN HEALTH GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-21",
        "last_updated": "2014-06-16",
        "status": "A",
        "authorized_official_last_name": "SHEEHAN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "508-754-8877"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laurel Ridge Rehabilitation and Skilled Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.