455 Brayton Avenue Operations LLC
Skilled Nursing Facility in Somerset, Massachusetts
1578745394- Practice location
- 455 Brayton Ave, Somerset, MA 02726-2642
- Phone
- 508-675-1001
- Fax
- 508-675-1088
- Last updated
- October 6, 2025
455 Brayton Avenue Operations LLC is a healthcare organization based in Somerset, MA. 455 Brayton Avenue Operations LLC practices in Somerset, MA. The NPI Number for 455 Brayton Avenue Operations LLC is 1578745394 and holds a License No. 0FBV (MA). The current practice location address for 455 Brayton Avenue Operations LLC is 455 Brayton Ave, Somerset, MA 02726-2642 and can be reached out via phone at 508-675-1001 and via fax at 508-675-1088.
Provider Profile Details
- NPI Number
- 1578745394
- Provider Name
- 455 Brayton Avenue Operations LLC
- Provider Entity Type
- Organization
- Address
- 455 Brayton Ave, Somerset, MA 02726-2642
- Phone Number
- 508-675-1001
- Fax Number
- 508-675-1088
- Primary Taxonomy
- Skilled Nursing Facility · 314000000X
- Organization Subpart
- No
- Authorized Official
- Michael T Berg · Secretary · 610-444-6350
- Other Names
- Somerset Ridge Center (Doing Business As)
- Provider Enumeration Date
- December 4, 2007
- Last Update Date
- October 6, 2025
- Certification Date
- October 6, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 455 Brayton Ave
Somerset, MA 02726-2642 - City
- Somerset
- State
- Massachusetts
- Zip
- 02726-2642
- Phone Number
- 508-675-1001
- Fax Number
- 508-675-1088
Provider Business Mailing Address Details
- Address
- 101 E State St
Kennett Square, PA 19348-3109 - City
- Kennett Square
- State
- PA
- Zip
- 19348-3109
- Phone Number
- 610-925-4436
- Fax Number
- 610-925-4351
License Information
- License Number
- 0FBV
- License State
- MA
- Taxonomy
- Skilled Nursing Facility · 314000000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of 455 Brayton Avenue Operations LLC?
The NPI number of 455 Brayton Avenue Operations LLC is 1578745394. It was assigned on December 4, 2007 and is currently active in the NPPES registry.
What is the specialty of 455 Brayton Avenue Operations LLC?
455 Brayton Avenue Operations LLC is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X), licensed in MA under license number 0FBV.
Where does 455 Brayton Avenue Operations LLC practice?
The practice location is 455 Brayton Ave, Somerset, MA 02726-2642. The office can be reached at 508-675-1001 (phone) or 508-675-1088 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1578745394 directly on the NPPES registry website.