NPIMap

Organization Active NPI

Wareham Health Group LLC

  • Skilled Nursing Facility
  • Wareham, MA
National Provider Identifier
1679569487
Registry record updated Aug 22, 2020
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Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0671 Issued in MA
Legal business name
WAREHAM HEALTH GROUP LLC
Practice address
605 Main St
Wareham, MA 02571-1031
Phone
(508) 295-1040
Fax
(508) 291-1904
NPI assigned
Sep 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Patrick Sheehan
Title
Manager
Phone
(413) 441-5082

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0671 MA Primary

Addresses

Primary practice location

605 Main St
Wareham, MA 02571-1031

Mailing address

605 Main St
Wareham, MA 02571-1031
Phone (508) 295-1040

Other identifiers 1

IdentifierTypeStateIssuer
0928399MedicaidMA

Other names 1

  • The Tremont Rehab & Skilled Care Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679569487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 MAIN ST",
            "city": "WAREHAM",
            "state": "MA",
            "postal_code": "025711031",
            "telephone_number": "508-295-1040",
            "fax_number": "508-291-1904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 MAIN ST",
            "city": "WAREHAM",
            "state": "MA",
            "postal_code": "025711031",
            "telephone_number": "508-295-1040",
            "fax_number": "508-291-1904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAREHAM HEALTH GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHEEHAN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "413-441-5082",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "0671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0928399",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Tremont Rehab & Skilled Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wareham, MA

Sources for this page

  • 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.