WV-CONCORD SNF OPCO, LLC (NPI# 1285184085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285184085 |
| Entity Type | Organization |
| Organization Name | WV-CONCORD SNF OPCO, LLC |
| Other Organization Name | WALDEN HEALTH AND REHABILITATION CENTER |
| Practice Address |
785 Main St Concord MA 01742-3310 |
| Mailing Address |
36 Washington St Suite 190 Wellesley Hills MA 02481-1900 |
| Practice Telephone | 9783696889 |
| Mailing Telephone | 7819433104 |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2016-10-05 |
| Authorized Official Name | MR. RAYMOND A. DENNEHY III (PRINCIPAL) |
| Authorized Official Telephone | 9788863336 |
| Is Organization Subpart | Y |
| Parent Organization Name | WACHUSETT VENTURES, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | MA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110100396A | 05 |
| Other Name | Type Code |
|---|---|
| Walden Health and Rehabilitation Center | Doing Business As Name - Organization |
| Street Address |
785 MAIN ST |
| City | CONCORD |
| State | MA |
| Zip Code | 01742-3310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356981856 | Landmark Recovery of Concord Ops LLC | Clinic/Center | 785 Main St, Concord, MA 01742-3310 | 2020-01-13 |
| 1528608023 | Landmark Recovery of Concord LLC | Substance Abuse Rehabilitation Facility | 785 Main St, Concord, MA 01742-3310 | 2020-01-13 |
| 1609239649 | Nsl Walden LLC | Skilled Nursing Facility | 785 Main St, Concord, MA 01742-3310 | 2016-03-29 |
| 1760800189 | Ch-walden LLC | Skilled Nursing Facility | 785 Main St, Concord, MA 01742-3310 | 2014-04-02 |
| 1831358316 | Louis D Duncan | Speech-Language Pathologist | 785 Main St, Concord, MA 01742-3310 | 2008-06-09 |
| 1205095213 | Ruth Ximena Lievano | Speech-Language Pathologist | 785 Main St, Concord, MA 01742-3310 | 2008-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528674348 | Camille Arcidi | Dentist | 747 Main Street, Suite 221, Concord, MA 01742 | 2020-09-17 |
| 1851916936 | Paige Hamilton-read | Psychologist | 333 Thoreau Street, Concord, MA 01742 | 2020-06-14 |
| 1467926113 | Judith Segal | Psychologist | 844 Sudbury Road, Concord, MA 01742 | 2019-01-16 |
| 1316422983 | Lisa Colagiovanni | Social Worker | 54 Hillside Ave., Concord, MA 01742 | 2018-09-30 |
| 1932699907 | Margaret C O'hearn-curran | Psychologist | 178 Silver Hill Rd, Concord, MA 01742 | 2018-05-15 |
| 1205358678 | Eva Moen | Pharmacist | 19 Nathan Pratt Drive, Unit 308, Concord, MA 01742 | 2017-07-07 |
| 1215475421 | Hengameh Lavasanifar | Pharmacist | Jcb;131 Ornac Suite 200;, Mgh Cancer Center At Emerson Hospital, Concord, MA 01742 | 2017-02-08 |
| 1255882684 | Stephanie Randazzo | Counselor | 20 Nathan Pratt Drive Unit 209, Concord, MA 01742 | 2016-10-20 |
| 1871943704 | Marjorie E. Cahn | Social Worker | 634 Walden Street, Concord, MA 01742 | 2016-06-22 |
| 1063873842 | Beth Israel Lahey Health Primary Care, Inc. | Internal Medicine | 2284 Main Street, Lahey Health Primary Care, Concord, Concord, MA 01742 | 2016-03-08 |
| Find all providers in zip 01742 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558737940 | Concord Village Skilled Nursing & Rehabilitation, Ltd | Skilled Nursing Facility | 10955 Capital Parkway, Concord, OH 44077 | 2015-08-19 |
| 1568593473 | Windsor Convalescent and Rehab Center of Concord, LLC | Skilled Nursing Facility | 3806 Clayton Rd, Concord, CA 94521-2516 | 2007-03-09 |
| 1699840231 | Willow Pass Health Care Center, Inc. | Skilled Nursing Facility | 3318 Willow Pass Rd, Concord, CA 94519-2316 | 2006-11-21 |
| 1932129731 | Bayberry Care Center, LLC | Skilled Nursing Facility | 1800 Adobe St, Concord, CA 94520-2313 | 2006-07-21 |
| 1821039678 | The Stonebrook Convalescent Center, Inc. | Skilled Nursing Facility | 4367 Concord Blvd, Concord, CA 94521-1145 | 2006-06-10 |
| 1295782597 | Mckerley Health Care Centers, Inc | Skilled Nursing Facility | 20 Maitland St, Concord, NH 03301-3534 | 2006-05-30 |
| 1942279609 | Universal Health Care Concord, Inc | Skilled Nursing Facility | 430 Brookwood Ave Ne, Concord, NC 28025-2566 | 2006-03-15 |
| 1528055019 | New England Deaconess Association | Skilled Nursing Facility | 80 Deaconess Rd, Concord, MA 01742-4113 | 2005-09-30 |
| 1295734911 | 57 Old Road To Nine Acre Corner Operating Company, LLC | Skilled Nursing Facility | 57 Old Road To 9 Acre Corner, Concord, MA 01742 | 2005-07-14 |
| 1144718230 | Curis At Concord Opco LLC | Skilled Nursing Facility | 515 Lake Concord Rd Ne, Concord, NC 28025 | 2018-04-25 |
| Find all providers in CONCORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.