Braintree Manor Nursing LLC
Braintree Manor Nursing LLC is a healthcare organization registered as Skilled Nursing Facility in Braintree, MA, holding Type 2 (organization) NPI 1104806710 since 2006. The authorized official on file is Brad Rolph, Cfo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1104806710 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Braintree Manor Nursing LLC |
| Other name | <Unavail> |
| Practice address | 1102 WASHINGTON ST, Braintree, MA, 02184 |
| Phone | 7818483100 |
| Enumeration date | 2006-01-19 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Brad Rolph |
|---|---|
| Title | Cfo |
| Phone | 7812978626 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | Primary | 0710 | MA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0926060 | Medicaid | MA | — |
Copy-ready billing details
Provider: Braintree Manor Nursing LLC NPI: 1104806710 Taxonomy: 314000000X (Skilled Nursing Facility) Address: 1102 WASHINGTON ST, Braintree, MA, 02184
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1982711917 | Braintree Nursing, L.L.C. | Organization | Skilled Nursing Facility | Braintree, MA |
| 1407179427 | Meghan Kostan | Individual | Occupational Therapist | Braintree, MA |
| 1902322092 | 1102 Washington Street Operator LLC | Organization | Skilled Nursing Facility | Braintree, MA |
| 1679052542 | Debra Delucca | Individual | Occupational Therapist | Braintree, MA |
| 1619456498 | Leslie Mcauliffe | Individual | Speech-Language Pathologist | Braintree, MA |
| 1417438565 | Alison Evans | Individual | Occupational Therapist | Braintree, MA |
| 1649751603 | Christine Guerrero | Individual | Occupational Therapist | Braintree, MA |
| 1043791197 | Kathleen Terry | Individual | Physical Therapist | Braintree, MA |
Verify this record
Cross-check NPI 1104806710 against the authoritative CMS record: view Braintree Manor Nursing LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Braintree Manor Nursing LLC located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.