SSC New Bedford Operating Company, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SSC NEW BEDFORD OPERATING COMPANY, LLC

Doing business as

Southeastern Massachusetts Health & Rehab

Practice address

4586 Acushnet Ave
New Bedford, MA 02745-4715

Phone

(508) 998-1188

Fax

(508) 985-2451

NPI assigned

Oct 4, 2005

Organization subpart

No

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

Authorized official

Name

Kelle C Santoro

Title

Sr Director Ar

Phone

(832) 467-5728

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Southeastern Massachusetts Health & Rehab Doing business as

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428624000000",
    "number": "1659368819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 W SAM HOUSTON PKWY N",
            "address_2": "SUITE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770415161",
            "telephone_number": "832-467-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4586 ACUSHNET AVE",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027454715",
            "telephone_number": "508-998-1188",
            "fax_number": "508-985-2451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSC NEW BEDFORD OPERATING COMPANY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-04",
        "last_updated": "2015-04-10",
        "status": "A",
        "authorized_official_last_name": "SANTORO",
        "authorized_official_first_name": "KELLE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SR DIRECTOR AR",
        "authorized_official_telephone_number": "832-467-5728"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110026386A",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0920941",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREVIOUS MEDICAID NUMBER",
            "identifier": "0928062MA",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southeastern Massachusetts Health & Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicholas P Spencer, MD
• Kim Christine Spooner, LMHC
• Sandra Emma Spoor, LICSW
• Cheryl Sprinkle, MA
• Judith Anne Sproule, SLP
• St Johns Nursing Home Inc
• Lisa Anne St. Laurent, MA, LMHC
• Juliett F St. Louis
• St. Luke'S Emergency Associates, P.C.
• Thomas Stackhouse, PHD

• Skilled Nursing Facility in New Bedford, MA
• Providers in New Bedford, 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 Apr 10, 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.