Healthcare Provider Details
I. General information
NPI: 1356261721
Provider Name (Legal Business Name): BRAINTREE NURSING AND REHAB LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
95 COMMERCIAL ST
BRAINTREE MA
02184-4301
US
IV. Provider business mailing address
400 RELLA BLVD STE 200
MONTEBELLO NY
10901-4239
US
V. Phone/Fax
- Phone: 781-848-0933
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
AVROHOM
ROTBERG
Title or Position: PRESIDENT
Credential:
Phone: 732-600-3946