MEDICARE: LONG TERM CENTERS OF WRENTHAM, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility		MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063419521
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LONG TERM CENTERS OF WRENTHAM, INC

Provider Business Mailing Address
First Line	:	655 DEDHAM ST
Second Line	:
City	:	WRENTHAM
State	:	MA
Zip	:	02093-1135
Country	:	US
Telephone Number	:	508-384-3400
Fax Number	:	508-384-8005

Provider Business Practice Location Address
First Line	:	655 DEDHAM ST
Second Line	:
City	:	WRENTHAM
State	:	MA
Zip	:	02093-1135
Country	:	US
Telephone Number	:	508-384-3400
Fax Number	:	508-384-8005

Authorized Official
Title or Position	:	CHIEF OPERATING OFFICER
Name	:	MR. MATTHEW J SWEENEY JR.
Credential	:	M.S., N.H.A.
Telephone Number	:	508-384-3400

Provider Enumeration Date	:	06/30/2005
Last Update Date	:	07/21/2022

Similar Medicare Providers

1275736399 — MRS. TRACEE LYNNE CAMPO MSPT
Practice Location Address:

655 DEDHAM ST
WRENTHAM, MA
02093-1135

Practice Phone: 508-384-3405
Practice Fax:

1033354238 — GRETCHEN L SCHRAMM
Practice Location Address:

655 DEDHAM ST
WRENTHAM, MA
02093-1135

Practice Phone: 508-384-3400
Practice Fax:

1710112826 — DIANE M O'CONNELL PT
Practice Location Address:

655 DEDHAM ST
WRENTHAM, MA
02093-1135

Practice Phone: 508-384-3400
Practice Fax:

1821228867 — WENDY S SCHNEIDER RPTA/COTA
Practice Location Address:

655 DEDHAM ST
WRENTHAM, MA
02093-1135

Practice Phone: 508-384-3400
Practice Fax:

1760082366 — DONNA JOSEPHINE REMMES AGNP
Practice Location Address:

313 FRANKLIN ST
WRENTHAM, MA
02093-2405

Practice Phone: 508-577-8234
Practice Fax:

1053878124 — HALLEY JAKES CHOINIERE
Practice Location Address:

PO BOX 505
WRENTHAM, MA
02093-0505

Practice Phone: 508-590-9458
Practice Fax: 508-205-2728

Directions to “LONG TERM CENTERS OF WRENTHAM, INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.