Family Rehabiliation

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0465 Issued in MA

Legal business name

FAMILY REHABILIATION

Practice address

133 Hancock Street
Dorchester, MA 02125

Phone

(617) 265-1959

NPI assigned

Sep 22, 2006

Organization subpart

No

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

Authorized official

Name

George Gougian

Title

Administrator

Phone

(617) 265-5220

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hancock Manor Nursing Home Doing business as

Locations

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861591935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 HANCOCK STREET",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "02125",
            "telephone_number": "617-265-1959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 HANCOCK STREET",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "02125",
            "telephone_number": "617-265-1959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY REHABILIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOUGIAN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "617-265-5220"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "0465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0920401",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hancock Manor Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ez Home Care
• Olajumoke J Falade, R.N.
• Carlee Francis Fallon, MA
• Familias Para El Progresso Y Cambio
• Family Dental Care, Inc
• Family Rehabilitation Services, Inc.
• Jephte Fanor
• Kyla Paige Farias
• Christine Farrell-Riley, MD
• Fathers' Uplift Family Group, LLC

• Skilled Nursing Facility in Dorchester, MA
• Providers in Dorchester, 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.