Roscommon Extended Care Center

LBN: Roscommon Healthcare Inc.
Roscommon Extended Care Center is an health care organization with primary practice located at 405 River St , Mattapan MA 02126-2210. 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. Roscommon Healthcare Inc. can be contacted via phone (617) 296-5585, or through Burke, John P via phone (617) 325-1688.

Contact Information

Primary practice address
405 River St Mattapan MA 02126-2210
Phone: (617) 296-5585
Fax: (617) 296-4907
Website:
Map and Directions
Authorized official contact:
Name: Burke, John P CPA
Phone: (617) 325-1688

Health care specialties

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

Profile Details

NPI number 1245316777
LBN Legal business name Roscommon Healthcare Inc.
DBA Doing business as Roscommon Extended Care Center
Authorized official Burke, John P CPA
Entity Organization
Organization subpart 1 No
Enumeration date Oct 27th, 2006
Last updated Oct 14th, 2011 - about 15 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1245316777 NPPES
Massachusetts MEDICAID 0927104

Popular Providers