Dedham Nursing LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

OMWV Issued in MA

Legal business name

DEDHAM NURSING LLC

Practice address

10 Carematrix Dr
Dedham, MA 02026-6149

Phone

(781) 461-9663

NPI assigned

Jan 16, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Brad Rolph

Title

Cfo

Phone

(781) 297-8626

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Highgate Manor Center for Health and Rehab Doing business as

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

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972582013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 KERRY PL",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020624775",
            "telephone_number": "781-619-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CAREMATRIX DR",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020266149",
            "telephone_number": "781-461-9663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEDHAM NURSING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROLPH",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "781-297-8626",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "OMWV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0926264",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highgate Manor Center for Health and Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dedham Medical Associates, Inc
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• Dedham Medical Associates, Inc.
• Dedham Modern Dentistry, PC
• Dedham MRI Inc
• Dedham Ophthalmic Consultants and Surgeons PC
• Dedham Ophthalmic Consultants and Surgeons, P.C.
• Dedham Pharmacy & Medical Supply
• Dedham Pharmacy & Medical Supply
• Kathleen Laura Deery, AGNP

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