Roscommon Healthcare West Roxbury Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

ROSCOMMON HEALTHCARE WEST ROXBURY INC.

Doing business as

Roscommon West Roxbury

Practice address

5060 Washington St
West Roxbury, MA 02132-4738

Phone

(617) 323-5440

Fax

(617) 469-5543

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 West Roxbury 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": "1320105600000",
    "number": "1588740153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5060 WASHINGTON ST",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021324738",
            "telephone_number": "617-323-5440",
            "fax_number": "617-469-5543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5060 WASHINGTON ST",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021324738",
            "telephone_number": "617-323-5440",
            "fax_number": "617-469-5543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSCOMMON HEALTHCARE WEST ROXBURY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2011-11-01",
        "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": "0927155",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roscommon West Roxbury",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James William Roche, R.PH.
• Griffin Rogers, PA-C
• Jayna Elizabeth Rogers, P.T.
• Beth Ann Rontal, MSW
• Roscommon Healthcare Brook Farm Inc. (Roscommon On the Parkway)
• Marea Ross
• Nikki Rouille, DPT
• Roumani Cosmetic Dental Services
• Riley Rousakis, MS OTR/L
• Joanna Cristine Rowe, LCSW

• 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 Nov 1, 2011; 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.