SOMERSET RIDGE CENTER (NPI# 1508247479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508247479 |
| Entity Type | Organization |
| Organization Name | SOMERSET RIDGE CENTER |
| Practice Address |
455 Brayton Ave Somerset MA 02726-2642 |
| Practice Telephone | 5086192240 |
| Mailing Telephone | 5086192240 |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2015-06-16 |
| Authorized Official Name | MRS. JODIE L BORGES (OCCUPATIONAL THERAPY ASSISTANT) |
| Authorized Official Telephone | 5084960065 |
| Authorized Official Credential | COTA/L |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 314000000X | Skilled Nursing Facility | 3466 | MA | Nursing & Custodial Care Facilities |
| Y | 314000000X | Skilled Nursing Facility | OTA00562 | RI | Nursing & Custodial Care Facilities |
| Street Address |
455 BRAYTON AVE |
| City | SOMERSET |
| State | MA |
| Zip Code | 02726-2642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477598803 | Somerset Ridge Limited Partnership | Skilled Nursing Facility | 455 Brayton Ave, Somerset, MA 02726-2642 | 2006-06-19 |
| 1982237731 | Louis Francis Pistocco Jr. | Physical Therapist | 455 Brayton Ave, Somerset, MA 02726-2642 | 2020-02-20 |
| 1942740600 | Morgan Labelle | Occupational Therapy Assistant | 455 Brayton Ave, Somerset, MA 02726-2642 | 2017-02-28 |
| 1770032377 | Wendy L Pimental | Occupational Therapy Assistant | 455 Brayton Ave, Somerset, MA 02726-2642 | 2016-09-25 |
| 1730557232 | Shaelyn O'reilly | Physical Therapist | 455 Brayton Ave, Somerset, MA 02726-2642 | 2015-09-14 |
| 1043687098 | Stacy Ellis | Physical Therapy Assistant | 455 Brayton Ave, Somerset, MA 02726-2642 | 2015-08-25 |
| 1013390947 | Athena Duquette | Occupational Therapist | 455 Brayton Ave, Somerset, MA 02726-2642 | 2015-07-09 |
| 1760863914 | Jane Hall | Physical Therapy Assistant | 455 Brayton Ave, Somerset, MA 02726-2642 | 2015-06-13 |
| 1861872780 | Kathleen Harper | Occupational Therapy Assistant | 455 Brayton Ave, Somerset, MA 02726-2642 | 2015-06-05 |
| 1437539699 | Jake Kenyon | Speech-Language Pathologist | 455 Brayton Ave, Somerset, MA 02726-2642 | 2015-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164034252 | Paul Michael Shaughnessy Jr. | Pharmacist | 296 Buffington St, Somerset, MA 02726 | 2020-08-19 |
| 1134630775 | James M Theriault | Occupational Therapy Assistant | 279 Vermont Ave, Somerset, MA 02726 | 2017-10-23 |
| 1033634951 | Ronald Alec Coulstring Jr. | Physical Therapy Assistant | 1440 Grand Army of The Republic, Somerset, MA 02726 | 2017-08-11 |
| 1447707906 | Jessica Solup | Occupational Therapist | 158 Highview Avenue, Somerset, MA 02726 | 2016-09-01 |
| 1649639956 | Fisher Bus Inc | Secured Medical Transport (VAN) | 586 County Street, Somerset, MA 02726 | 2016-02-15 |
| 1104248988 | Jennifer Doyle | Speech-Language Pathologist | 668 Wood St, Somerset, MA 02726 | 2014-01-13 |
| 1528143906 | Joshua John Gurney | Physical Therapist | 67 G.a.r. Highway, Somerset, MA 02726 | 2006-10-26 |
| 1700972247 | Margaret Gray Clark-moroff | Optometrist | 44 Shawomet Avenue, Somerset, MA 02726 | 2006-10-04 |
| 1609884683 | Donald Albert Forbes | Dentist | 481 South Street, Somerset, MA 02726 | 2006-08-04 |
| 1124046685 | Philip Michael Robitaille | Dentist | 1188 County St, Somerset, MA 02726 | 2006-07-17 |
| Find all providers in zip 02726 | ||||
| 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 |
|---|---|---|---|---|
| 1114309119 | Somerset Woods Rehabilitation and Nursing Center LLC | Skilled Nursing Facility | 780 Old New Brunswick Road, Somerset, NJ 08873 | 2015-06-25 |
| 1609190545 | James Rodney Edwards | Skilled Nursing Facility | 140 Harris Rd, Somerset, KY 42503-4916 | 2010-03-22 |
| 1316114861 | Cpl (willow Creek) LLC | Skilled Nursing Facility | 1165 Easton Ave, Somerset, NJ 08873-1613 | 2008-05-14 |
| 1518039023 | Extendicare Homes, Inc. | Skilled Nursing Facility | 200 Norfleet Dr, Somerset, KY 42501-1952 | 2006-11-14 |
| 1134158918 | Cpl (willow Creek) LLC | Skilled Nursing Facility | 1165 Easton Avenue, Somerset, NJ 08873-1613 | 2006-07-02 |
| 1639108871 | Thi of Ohio At Somerset LLC | Skilled Nursing Facility | 411 S Columbus St, Somerset, OH 43783-9415 | 2006-07-01 |
| 1033145529 | Hanging Rock Ltc, LLC | Skilled Nursing Facility | 555 Bourne Ave, Somerset, KY 42501-1915 | 2006-06-25 |
| 1477598803 | Somerset Ridge Limited Partnership | Skilled Nursing Facility | 455 Brayton Ave, Somerset, MA 02726-2642 | 2006-06-19 |
| 1326037938 | Somerset Manor L L C | Skilled Nursing Facility | 106 Gover St, Somerset, KY 42501-3332 | 2005-10-17 |
| 1992793509 | Clifton Geriatric Center | Skilled Nursing Facility | 500 Wilbur Ave, Somerset, MA 02725-2051 | 2005-10-07 |
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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.