Provider Demographics
NPI:1588651012
Name:ROCKLAND HEALTH GROUP LLC
Entity Type:Organization
Organization Name:ROCKLAND HEALTH GROUP LLC
Other - Org Name:SOUTH SHORE REHAB & SKILLED CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEEHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-878-3308
Mailing Address - Street 1:115 NORTH AVE
Mailing Address - Street 2:
Mailing Address - City:ROCKLAND
Mailing Address - State:MA
Mailing Address - Zip Code:02370-2129
Mailing Address - Country:US
Mailing Address - Phone:781-878-3308
Mailing Address - Fax:
Practice Address - Street 1:115 NORTH AVE
Practice Address - Street 2:
Practice Address - City:ROCKLAND
Practice Address - State:MA
Practice Address - Zip Code:02370-2129
Practice Address - Country:US
Practice Address - Phone:781-878-3308
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA0783314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD0928330Medicaid
MD0928330Medicaid