Wv-Brockton SNF, LLC
Skilled Nursing Facility in Brockton, Massachusetts
1922557487- Practice location
- 2 Beaumont Ave, Brockton, MA 02302-3302
- Phone
- 508-559-2521
- Fax
- —
- Last updated
- September 26, 2016
Wv-Brockton SNF, LLC is a healthcare organization based in Brockton, MA. Wv-Brockton SNF, LLC practices in Brockton, MA. The NPI Number for Wv-Brockton SNF, LLC is 1922557487 and holds a License No. 0695 (MA). The current practice location address for Wv-Brockton SNF, LLC is 2 Beaumont Ave, Brockton, MA 02302-3302 and can be reached out via phone at 508-559-2521.
Provider Profile Details
- NPI Number
- 1922557487
- Provider Name
- Wv-Brockton SNF, LLC
- Provider Entity Type
- Organization
- Address
- 2 Beaumont Ave, Brockton, MA 02302-3302
- Phone Number
- 508-559-2521
- Primary Taxonomy
- Skilled Nursing Facility · 314000000X
- Organization Subpart
- Yes
- Parent Organization
- Wachusett Ventures, LLC
- Authorized Official
- Mr. Raymond A. Dennehy · Principal · 978-886-3336
- Other Names
- Brockton Health Center (Doing Business As)
- Provider Enumeration Date
- September 26, 2016
- Last Update Date
- September 26, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2 Beaumont Ave
Brockton, MA 02302-3302 - City
- Brockton
- State
- Massachusetts
- Zip
- 02302-3302
- Phone Number
- 508-559-2521
Provider Business Mailing Address Details
- Address
- 36 Washington St
Suite 190
Wellesley Hills, MA 02481-1900 - City
- Wellesley Hills
- State
- MA
- Zip
- 02481-1900
- Phone Number
- 978-886-3336
License Information
- License Number
- 0695
- 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 Wv-Brockton SNF, LLC?
The NPI number of Wv-Brockton SNF, LLC is 1922557487. It was assigned on September 26, 2016 and is currently active in the NPPES registry.
What is the specialty of Wv-Brockton SNF, LLC?
Wv-Brockton SNF, LLC is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X), licensed in MA under license number 0695.
Where does Wv-Brockton SNF, LLC practice?
The practice location is 2 Beaumont Ave, Brockton, MA 02302-3302. The office can be reached at 508-559-2521 (phone).
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 1922557487 directly on the NPPES registry website.