1102 Washington Street Operator LLC
NPI 1902322092 · Skilled Nursing Facility · Braintree, MA
1102 Washington Street Operator LLC is a Skilled Nursing Facility organization in Braintree, MA (NPI 1902322092).
Provider details
- NPI number
- 1902322092
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- William Stephan, Cfo(617) 943-7747
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Braintree Manor Healthcare
Registry dates
- Enumerated
- 2017-08-21
- Last updated
- 2022-07-21
Frequently asked questions
- What is 1102 Washington Street Operator LLC's NPI number?
- 1102 Washington Street Operator LLC's National Provider Identifier (NPI) is 1902322092, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 1102 Washington Street Operator LLC?
- 1102 Washington Street Operator LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is 1102 Washington Street Operator LLC located?
- 1102 Washington Street Operator LLC's practice location on file with NPPES is 1102 Washington St, Braintree, MA 02184-5438.
- What is 1102 Washington Street Operator LLC's phone number?
- The practice phone number listed in the NPPES registry for 1102 Washington Street Operator LLC is (781) 848-3100.
- Who is the authorized official for 1102 Washington Street Operator LLC?
- The authorized official listed on 1102 Washington Street Operator LLC's NPPES record is William Stephan, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 1102 Washington Street Operator LLC's NPI active?
- Yes — 1102 Washington Street Operator LLC's NPI (1902322092) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.