Leicester Nursing LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0838 Issued in MA

Legal business name

LEICESTER NURSING LLC

Practice address

111 Huntoon Memorial Hwy
Rochdale, MA 01542-1305

Phone

(508) 892-4858

NPI assigned

Jan 16, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Brad Rolph

Title

Cfo

Phone

(781) 297-8626

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Meadows Rehab and Nursing Center Doing business as

Locations

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

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528047669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 KERRY PL",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020624775",
            "telephone_number": "781-619-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 HUNTOON MEMORIAL HWY",
            "city": "ROCHDALE",
            "state": "MA",
            "postal_code": "015421305",
            "telephone_number": "508-892-4858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEICESTER NURSING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROLPH",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "781-297-8626",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "0838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0926299",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Meadows Rehab and Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Rochdale, MA
• Providers in Rochdale, 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 Aug 22, 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.