BROAD REACH OF CHATHAM INC. (NPI# 1497748735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497748735 |
| Entity Type | Organization |
| Organization Name | BROAD REACH OF CHATHAM INC. |
| Other Organization Name | LIBERTY COMMONS NURSING & REHABILITATION CENTER |
| Practice Address |
390 Orleans Rd N Chatham MA 02650-1154 |
| Practice Telephone | 5089454611 |
| Practice Fax Number | 5089452245 |
| Mailing Telephone | 5089454611 |
| Mailing Fax Number | 5089452245 |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2013-03-12 |
| Authorized Official Name | MR. WILLIAM J BOGDANOVICH (PRESIDENT/CEO) |
| Authorized Official Telephone | 5089454611 |
| Authorized Official Credential | CNHA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 0884 | MA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0922935 | 05 |
| Other Name | Type Code |
|---|---|
| Liberty Commons Nursing & Rehabilitation Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609077429 | Broad Reach of Chatham Inc. | Speech-Language Pathologist | 390 Orleans Rd, North Chatham, MA 02650-1154 | 2007-05-30 |
| 1619178431 | Broad Reach of Chatham Inc. | Occupational Therapist | 390 Orleans Rd, North Chatham, MA 02650-1154 | 2007-05-30 |
| 1700087525 | Broad Reach of Chatham Inc. | Physical Therapist | 390 Orleans Rd, North Chatham, MA 02650-1154 | 2007-05-30 |
| Street Address |
390 ORLEANS RD |
| City | N CHATHAM |
| State | MA |
| Zip Code | 02650-1154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659933976 | Mary J Brophy | Physical Therapist | 390 Orleans Road, North Chatham, MA 02650 | 2019-07-08 |
| 1083785000 | Edward Robert Harned | Family Medicine | 49 Echo Lane, North Chatham, MA 02650 | 2006-11-13 |
| 1700822061 | Thomas C Halliday | Family Medicine | 69 Crows Pond Rd, North Chatham, MA 02650 | 2006-06-22 |
| 1720263791 | Simone C Byrne | Behavioral Analyst | 24 Andrew Mitchell Ln, North Chatham, MA 02650-1055 | 2008-01-08 |
| 1821066168 | Benjamin Smolenski | Orthopaedic Surgery | 725 Old Harbor Rd, North Chatham, MA 02650-1134 | 2006-03-11 |
| 1083196687 | Nicolette Branson | Specialist/Technologist | 98 Orleans Rd, North Chatham, MA 02650-1151 | 2018-08-30 |
| 1982182168 | Mary E Sprout | Social Worker | 389 Orleans Rd, North Chatham, MA 02650-1173 | 2018-07-31 |
| 1467469692 | Kevin Charles Smith | Dentist | 212 Orleans Rd Ste A, North Chatham, MA 02650-1184 | 2006-08-01 |
| 1417211889 | David H Baker | Radiology | 1114 Orleans Rd, # 7, North Chatham, MA 02650-1186 | 2012-06-29 |
| 1962685396 | Cecilia G. Moore Dpm LLC | Podiatrist | 214 Orleans Rd, Suite C, North Chatham, MA 02650-3101 | 2007-12-07 |
| Find all providers in zip 02650 | ||||
| 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. |
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| 1548813850 | Pleasant Bay of Brewster Rehab Center LLC | Skilled Nursing Facility | 383 South Orleans Road, Brewster, MA 02631 | 2019-07-17 |
| 1396208039 | Wilmington Rehab Center LLC | Skilled Nursing Facility | 90 West Street, Wilmington, MA 01887 | 2019-04-10 |
| 1972039113 | Lutheran Home of Jamaica Plain, Inc. | Skilled Nursing Facility | 174 Forest Hills St, Jamaica Plain, MA 02130-3353 | 2017-05-09 |
| 1033657796 | Regis College | Skilled Nursing Facility | 1 Chase Ln, Lynn, MA 01902-3266 | 2017-02-02 |
| 1174061832 | Regis College | Skilled Nursing Facility | 88 Franklin St, Lynn, MA 01902-4168 | 2017-02-02 |
| 1679010193 | Juliana | Skilled Nursing Facility | 414 Shaw St, Braintree, MA 02184-1226 | 2017-01-22 |
| 1174067052 | Companion Health Services | Skilled Nursing Facility | 284 North St, Boston, MA 02113-2108 | 2016-12-12 |
| 1104276187 | National Healthcare Corporation | Skilled Nursing Facility | 421 Laurel St, Bridgewater, MA 02324-2703 | 2016-06-21 |
| Find all providers with the same taxonomy | ||||
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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.