1102 WASHINGTON STREET OPERATOR LLC (NPI# 1902322092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902322092 |
| Entity Type | Organization |
| Organization Name | 1102 WASHINGTON STREET OPERATOR LLC |
| Other Organization Name | BRAINTREE MANOR HEALTHCARE |
| Practice Address |
1102 Washington St Braintree MA 02184-5438 |
| Practice Telephone | (781) 848-3100 |
| Mailing Telephone | 7818483100 |
| Enumeration Date | 2017-08-21 |
| Last Update Date | 2017-08-21 |
| Authorized Official Name | WILLIAM H STEPHAN (CFO) |
| Authorized Official Telephone | 6179437747 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Braintree Manor HealthCare | Doing Business As Name - Organization |
| Street Address |
1102 WASHINGTON ST |
| City | BRAINTREE |
| State | MA |
| Zip Code | 02184-5438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104806710 | Braintree Manor Nursing LLC | Skilled Nursing Facility | 1102 Washington St, Braintree, MA 02184-5438 | 2006-01-19 |
| 1023655032 | Nicole Janine Dubou | Physical Therapist | 1102 Washington St, Braintree, MA 02184-5438 | 2019-12-09 |
| 1417438565 | Alison Evans | Occupational Therapist | 1102 Washington St, Braintree, MA 02184-5400 | 2018-08-27 |
| 1649751603 | Christine Sarah Guerrero | Occupational Therapist | 1102 Washington St, Braintree, MA 02184-5438 | 2018-08-27 |
| 1043791197 | Kathleen Terry | Physical Therapist | 1102 Washington St, Braintree, MA 02184-5438 | 2018-08-27 |
| 1619456498 | Leslie Mcauliffe | Speech-Language Pathologist | 1102 Washington St, Braintree, MA 02184-5438 | 2018-08-12 |
| 1679052542 | Debra Melia Delucca | Occupational Therapist | 1102 Washington St, Braintree, MA 02184-5438 | 2018-08-10 |
| 1396223046 | Jamie Molloy Rivero | Speech-Language Pathologist | 1102 Washington St, Braintree, MA 02184-5438 | 2018-08-04 |
| 1407179427 | Meghan A Kostan | Occupational Therapist | 1102 Washington St, Braintree, MA 02184-5438 | 2010-03-04 |
| 1982711917 | Braintree Nursing, L.L.C. | Skilled Nursing Facility | 1102 Washington St, Braintree, MA 02184-5438 | 2006-08-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342234 | Albert Jusu | Counselor | Arbour Counseling Services, 400 Washington Street, Braintree, MA 02184 | 2020-10-05 |
| 1356952378 | Samantha Taylor O'malley | Student in an Organized Health Care Education/Training Program | 639 Granite Street, N/a, Brainetree, MA 02184 | 2020-08-13 |
| 1184104499 | Andrea Boudreau | Social Worker | Coastal Dcf, 220 R Forbes Road, Braintree, MA 02184 | 2018-08-16 |
| 1144747221 | Mina Schafft Dmd Pllc | Dentist | 321 Washington Street, Unit 101, Westwood, MA 02184 | 2017-08-29 |
| 1922520592 | Samson Michel | Counselor | 400 Washington St. Suite 106, Braintree, MA 02184 | 2017-07-14 |
| 1760912653 | Shannon R Harvey | Behavioral Analyst | 501 Commerce Dr 4207, Braintree, MA 02184 | 2017-06-14 |
| 1275074429 | Colleen Dalton | Behavioral Analyst | 32 Powder Hill Dr, Braintree, MA 02184 | 2017-03-20 |
| 1295273266 | Jessica Morris | Occupational Therapist | 16 Kensington Street, Braintree, MA 02184 | 2017-02-09 |
| 1568834562 | Lisa Morrill | Counselor | 400 Washington St Ste 106, Braintree, MA 02184 | 2015-10-29 |
| 1831560382 | Dr Dental of Braintree PC | Dentist | 284 Grove St, Braintree, MA 02184 | 2015-10-09 |
| Find all providers in zip 02184 | ||||
| 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 |
|---|---|---|---|---|
| 1679010193 | Juliana | Skilled Nursing Facility | 414 Shaw St, Braintree, MA 02184-1226 | 2017-01-22 |
| 1669682019 | John Scott House Rehabilitation & Nursing Center | Skilled Nursing Facility | 233 Middle St, Braintree, MA 02184-4840 | 2007-05-23 |
| 1174629547 | 95 Commercial LLC | Skilled Nursing Facility | 95 Commercial Street, Braintree, MA 02184 | 2006-09-15 |
| 1538133012 | John Scott House, Inc | Skilled Nursing Facility | 233 Middle Street, Braintree, MA 02188-2336 | 2006-02-14 |
| 1104806710 | Braintree Manor Nursing LLC | Skilled Nursing Facility | 1102 Washington St, Braintree, MA 02184-5438 | 2006-01-19 |
| 1700873072 | Alliance Health of Southeastern Massachusetts, Inc. | Skilled Nursing Facility | 175 Grove St, Braintree, MA 02184-7253 | 2005-10-03 |
| 1215391024 | Bane John Scott, LLC | Skilled Nursing Facility | 233 Middle St, Braintree, MA 02184-4840 | 2016-04-07 |
| 1770888570 | Genesis | Skilled Nursing Facility | 95 Commercial St, Braintree, MA 02184-4301 | 2011-01-26 |
| 1982711917 | Braintree Nursing, L.L.C. | Skilled Nursing Facility | 1102 Washington St, Braintree, MA 02184-5438 | 2006-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255945325 | Holyoke Care Center, LLC | Skilled Nursing Facility | Holyoke Care Center, LLC, 35 Holy Family Road, Holyoke, MA 01040 | 2020-09-04 |
| 1093365322 | Seashore Pointe Rehab Center LLC | Skilled Nursing Facility | Seashore Pointe Rehab Center LLC, 100 Alden Street, Provincetown, MA 02657 | 2019-09-18 |
| 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 |
| 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 |
| 1144679564 | Milton Hc Operating LLC | Skilled Nursing Facility | 1200 Brush Hill Road, Milton, MA 02186 | 2016-06-07 |
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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.