The Meadows SNF, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0985 Issued in MA

Legal business name

THE MEADOWS SNF, LLC

Doing business as

The Meadows of Central Massachusetts

Practice address

111 Huntoon Memorial Hwy
Rochdale, MA 01542-1305

Phone

(508) 892-4858

NPI assigned

Sep 26, 2016

Last updated

Sep 26, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

WACHUSETT VENTURES, LLCAs reported in NPPES

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

Authorized official

Name

Mr. Raymond A. Dennehy III

Title

Manager

Phone

(978) 886-3336

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Meadows of Central Massachusetts Doing business as

Part of

Wachusett Ventures LLC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Wachusett Ventures LLC

  • Skilled Nursing Facility
  • Wellesley Hills, MA
  • NPI 1083065908
  NPPES parent name

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

{
    "created_epoch": "1474848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474848000000",
    "number": "1932658499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 WASHINGTON ST",
            "address_2": "SUITE 190",
            "city": "WELLESLEY HILLS",
            "state": "MA",
            "postal_code": "024811900",
            "telephone_number": "781-943-3104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 HUNTOON MEMORIAL HWY",
            "city": "ROCHDALE",
            "state": "MA",
            "postal_code": "015421305",
            "telephone_number": "508-892-4858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MEADOWS SNF, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WACHUSETT VENTURES, LLC",
        "enumeration_date": "2016-09-26",
        "last_updated": "2016-09-26",
        "status": "A",
        "authorized_official_last_name": "DENNEHY",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "978-886-3336",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "0985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0950238",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Meadows of Central Massachusetts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Springfield Park View Hospital, LLC (d/b/a Kindred Hospital Park View - Central Mass.)
• Rebecca Joy St. Amand, PA-C
• Ann-Marie Sullivan, NP
• Tamara Swartz PHD
• Rebecca Diana Taylor
• Michaella Rose Tretheway
• Vibra Hospital of Western Massachusetts LLC (The Meadows of Central Massachusetts)
• Vibra Hospital of Western Massachusetts, LLC (Vibra Hospital of Western Massachusetts-Central Campus)
• Rachael Wallman
• Shawn Wojnarowicz

• Skilled Nursing Facility in Rochdale, MA
• Providers in Rochdale, 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 Sep 26, 2016; 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.