BROCKTON HEALTH CENTER – NPI #1922557487
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.

BROCKTON HEALTH CENTER is a skilled nursing facility (SNF) located in BROCKTON, MA. NPPES has assigned the NPI number 1922557487 to BROCKTON HEALTH CENTER on September 26, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BROCKTON HEALTH CENTER” is a dba name, the actual legal business name for this organization is WV-BROCKTON SNF, LLC. The primary taxonomy selected by this provider is 314000000X from the Health Care Provider Taxonomy code set, which is classified as Skilled Nursing Facility.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BROCKTON HEALTH CENTER below.

NPI Profile for
WV-BROCKTON SNF, LLC

NPI Number
1922557487
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WV-BROCKTON SNF, LLC
Doing Business As (dba): BROCKTON HEALTH CENTER
Primary location
2 BEAUMONT AVE
BROCKTON, MA 02302-3302
Phone: (508) 559-2521 Fax:
Mailing address
36 WASHINGTON ST
SUITE 190
WELLESLEY HILLS, MA 02481-1900
Phone: (978) 886-3336 Fax:
Organization Subpart
Yes - BROCKTON HEALTH CENTER is subpart of another organization.
Authorized Official
RAYMOND DENNEHY
PRINCIPAL
Phone: (978) 886-3336
Updated
Identifiers

Identifiers for BROCKTON HEALTH CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMA11010204A
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
314000000X
- Skilled Nursing Facility (Primary)
MA 0695

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.