Brockton Health Center

LBN: Wv-Brockton Snf, Llc
Brockton Health Center is an health care organization with primary practice located at 2 Beaumont Ave , Brockton MA 02302-3302. 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. Wv-Brockton Snf, Llc can be contacted via phone (508) 559-2521, or through Dennehy, Raymond A. via phone (978) 886-3336.

Contact Information

Primary practice address
2 Beaumont Ave Brockton MA 02302-3302
Phone: (508) 559-2521
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dennehy, Raymond A.
Phone: (978) 886-3336

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 0695 Massachusetts

Profile Details

NPI number 1922557487
LBN Legal business name Wv-Brockton Snf, Llc
DBA Doing business as Brockton Health Center
Authorized official Dennehy, Raymond A.
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 26th, 2016
Last updated Sep 26th, 2016 - about 9 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 1922557487 NPPES
Massachusetts MEDICAID 11010204A

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