Roscommon West Roxbury

LBN: Roscommon Healthcare West Roxbury Inc.
Roscommon West Roxbury is an health care organization with primary practice located at 5060 Washington St , West Roxbury MA 02132-4738. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Roscommon Healthcare West Roxbury Inc. can be contacted via phone (617) 323-5440, or through Burke, John P via phone (617) 325-1688.

Contact Information

Primary practice address
5060 Washington St West Roxbury MA 02132-4738
Phone: (617) 323-5440
Fax: (617) 469-5543
Website:
Map and Directions
Authorized official contact:
Name: Burke, John P CPA
Phone: (617) 325-1688

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1588740153
LBN Legal business name Roscommon Healthcare West Roxbury Inc.
DBA Doing business as Roscommon West Roxbury
Authorized official Burke, John P CPA
Entity Organization
Organization subpart 1 No
Enumeration date Oct 27th, 2006
Last updated Nov 1st, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588740153 NPPES
Massachusetts MEDICAID 0927155

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