ST. JOSEPH MANOR HEALTH CARE, INC.
NPI 1275515439
Skilled Nursing Facility in Brockton, MA

Active since November 15, 2005CLIA 22D0911336 · Waiver
215 THATCHER ST, BROCKTON, MA 02302(508) 583-5834(508) 583-8551 Get Directions Write a Review

NPPES record last updated: November 20, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About St. Joseph Manor Health Care, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST. JOSEPH MANOR HEALTH CARE, INC. (NPI 1275515439) is a healthcare organization registered as a skilled nursing facility in Brockton, Massachusetts and active in the NPI registry since November 2005. The organization holds a CLIA Waiver certificate valid through January 31, 2028 and lists Christopher J. Kenney, Ceo/administrator, as its authorized official.

NPPES Registry Identity

NPI1275515439
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameST. JOSEPH MANOR HEALTH CARE, INC.
Location Address215 THATCHER STBrockton, MA 02302-3949
Mailing Address215 Thatcher StBrockton, MA 02302-3949 · (508) 583-5834 · Fax (508) 583-8551
Fax(508) 583-8551
Organization SubpartNo
Authorized OfficialChristopher J. KenneyCeo/administrator · (508) 583-5834
Enumeration DateNovember 15, 2005
Last NPPES UpdateNovember 20, 2012
NPI 1275515439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in MA · 0585
Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

Also ListedNursing Facility/Intermediate Care FacilityTaxonomy 313M00000X · License 881 (MA)
215 THATCHER ST, Brockton, MA 02302

Other Identifiers 2

Medicaid0906166MA
Medicare OSCAR/certification225414

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 22D0911336

St Joseph Manor Health Care Inc · Brockton, MA
Active · expires Jan 31, 2028
CLIA Number22D0911336
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateFebruary 1, 2026
Certificate Expiration DateJanuary 31, 2028
Laboratory DirectorJessica Miller
Laboratory Phone(508) 583-5834
Laboratory LocationSt Joseph Manor Health Care Inc215 Thatcher Street, Brockton, MA 02302
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
215 THATCHER ST
BROCKTON, MA 02302
Speech-Language Pathologist
215 THATCHER ST
BROCKTON, MA 02302
Occupational Therapist
215 THATCHER ST
BROCKTON, MA 02302
Physical Therapist
215 THATCHER ST
BROCKTON, MA 02302
Physical Medicine & Rehabilitation
215 THATCHER ST
BROCKTON, MA 02302
Physical Therapist
215 THATCHER ST
BROCKTON, MA 02302
Physical Therapist
215 THATCHER ST
BROCKTON, MA 02302
Speech-Language Pathologist
215 THATCHER ST
BROCKTON, MA 02302

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275515439, enumerated as an "organization" on November 15, 2005.

The provider is located at 215 THATCHER ST BROCKTON, MA 02302 and the phone number is (508) 583-5834.

Skilled Nursing Facility with taxonomy code 314000000X.

The provider might be accepting Accepts: Harvard Pilgrim Health Care, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.