Wetterberg Nursing Homes, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0538 Issued in MA

Legal business name

WETTERBERG NURSING HOMES, INC.

Doing business as

Pond View Nursing Facility

Practice address

81 S Huntington Ave
Jamaica Plain, MA 02130-4704

Phone

(617) 277-2633

Fax

(617) 277-1866

NPI assigned

Aug 13, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Leonard Wetterberg

Title

President

Phone

(617) 277-2633

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pond View Nursing Facility Doing business as

Locations

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952313322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 S HUNTINGTON AVE",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021304704",
            "telephone_number": "617-277-2633",
            "fax_number": "617-277-1866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 S HUNTINGTON AVE",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021304704",
            "telephone_number": "617-277-2633",
            "fax_number": "617-277-1866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WETTERBERG NURSING HOMES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WETTERBERG",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-277-2633",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "0538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0919608",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pond View Nursing Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jocelyn Hope Wender-Shubow
• Katherine Joyce Wesner, DNP, FNP-BC
• Maria Wessman-Conroy
• Rebecca West
• Shawn Marie Westendorf, SLP
• Mary Rose Weyrich
• Shruthi Mandyam Whalen, LICSW
• Tamarie Wheat
• Amanda White, LMHC10001253
• Andrea Eve White, PT

• Skilled Nursing Facility in Jamaica Plain, MA
• Providers in Jamaica Plain, 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.