Waban Health & Rehabilation, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0387 Issued in MA

Legal business name

WABAN HEALTH & REHABILATION, INC.

Practice address

20 Kinmonth Rd
Newton, MA 02468-1503

Phone

(617) 332-8481

Fax

(617) 332-8959

NPI assigned

Jul 21, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Sean Durso

Title

Cfo

Phone

(617) 332-8481

Specialties & licenses 1

Addresses

Other identifiers 4

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328140800000",
    "number": "1972502813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 KINMONTH RD",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024681503",
            "telephone_number": "617-332-8481",
            "fax_number": "617-332-8959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 KINMONTH RD",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024681503",
            "telephone_number": "617-332-8481",
            "fax_number": "617-332-8959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WABAN HEALTH & REHABILATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-21",
        "last_updated": "2012-02-02",
        "status": "A",
        "authorized_official_last_name": "DURSO",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "617-332-8481",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "0387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAVARD PILGRIM ID",
            "identifier": "908337",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS, MEDEX PROVIDER ID",
            "identifier": "0Q00490001",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS PROVIDER ID",
            "identifier": "667864",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0924512",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffini Vo
• Julia Volchok
• A George Volpe, MD
• Isabelle Vuilleumier
• Waban Dental Group
• Waban Pediatric Dentistry, PC
• Caitlyn Wacha
• David M Wachs, M.D.
• Janet Crew Wade, PT, PCS
• Keith Alan Wade, MPT

• Skilled Nursing Facility in Newton, MA
• Providers in Newton, 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 Feb 2, 2012; 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.