Medford Health Group LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0534 Issued in MA

Legal business name

MEDFORD HEALTH GROUP LLC

Doing business as

Stonehedge Rehab & Skilled Care Center

Practice address

5 Redlands Rd
West Roxbury, MA 02132-1506

Phone

(617) 327-6325

Fax

(617) 327-8204

NPI assigned

Sep 27, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Christopher Sheehan

Title

Administrator

Phone

(671) 327-6325

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Stonehedge Rehab & Skilled Care Center Doing business as

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": "1932195625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 REDLANDS RD",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021321506",
            "telephone_number": "617-327-6325",
            "fax_number": "617-327-8204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 REDLANDS RD",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021321506",
            "telephone_number": "617-327-6325",
            "fax_number": "617-327-8204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDFORD 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": "CHRISTOPHER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "671-327-6325",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "0534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0929255",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stonehedge Rehab & Skilled Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Francis McMullen, CRNA
• Laura A McNamara, NURSE PRACTITIONER
• Molly Marie McNeely, MD
• James T McPhee, M.D.
• Luz Marina McVey, RN/NP
• Rosemary Mehl
• Christina Meister, PA-C
• Tekikil Mekuria, PHARM D
• Dmitriy Melikhov
• Taylor Ann Meltzer, OD

• 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 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.