Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

1102 Washington Street Operator LLC

Organization Skilled Nursing Facility · NPI 1902322092

1102 Washington Street Operator LLC is a Skilled Nursing Facility in Braintree, Massachusetts. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1102 Washington St
Braintree, MA 02184-5438
Phone: (781) 848-3100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X

Record details

NPI number1902322092
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Stephan — Cfo · (617) 943-7747
Other names Braintree Manor Healthcare
NPI enumeratedAugust 21, 2017
Last updated in NPPESJuly 21, 2022
Mailing address1102 Washington St, Braintree, MA 02184-5438

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