Somerset Ridge Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

OTA00562 Issued in RI

Legal business name

SOMERSET RIDGE CENTER

Practice address

455 Brayton Ave
Somerset, MA 02726-2642

Phone

(508) 619-2240

NPI assigned

Jun 16, 2015

Last updated

Jun 16, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jodie L Borges, COTA/L

Title

Occupational Therapy Assistant

Phone

(508) 496-0065

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434412800000",
    "number": "1508247479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 BRAYTON AVE",
            "city": "SOMERSET",
            "state": "MA",
            "postal_code": "027262642",
            "telephone_number": "508-619-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 BRAYTON AVE",
            "city": "SOMERSET",
            "state": "MA",
            "postal_code": "027262642",
            "telephone_number": "508-619-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMERSET RIDGE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-16",
        "last_updated": "2015-06-16",
        "status": "A",
        "authorized_official_last_name": "BORGES",
        "authorized_official_first_name": "JODIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPY ASSISTANT",
        "authorized_official_telephone_number": "508-496-0065",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "COTA/L"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "3466",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "RI",
            "license": "OTA00562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Michael Silvia, LADC1, CADC
• Debra Genevieve Skinner
• Solta Wellness
• Jessica Solup
• Somerset Berkley Regional School
• Somerset Ridge Limited Partnership (Somerset Ridge Center)
• Somerset Ridge SNF Opco LLC (Somerset Ridge Health Care Center)
• Somerset Ridge SNF Operations BHC
• Southcoast Transportation Inc.
• Melissa Anne Souza, LPN

• Skilled Nursing Facility in Somerset, MA
• Providers in Somerset, 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 Jun 16, 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.