BEDROCK REHAB, LLC - NPI 1891332193 - Substance Abuse Rehabilitation Facility in Canton, MA

Q: What is Bedrock Rehab, LLC's NPI number?

The NPI number for Bedrock Rehab, LLC is 1891332193. It was assigned to this organization in the NPPES registry on December 5, 2019.

Q: What is Bedrock Rehab, LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

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About Bedrock Rehab, Llc NPPES

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

BEDROCK REHAB, LLC (NPI 1891332193) is a healthcare organization registered as a substance abuse rehabilitation facility in Canton, Massachusetts and active in the NPI registry since December 2019. The organization lists Jane Bombardier, Ceo, as its authorized official.

NPPES Registry Identity

NPI1891332193

Entity TypeOrganization

Primary Taxonomy324500000X

Legal Business NameBEDROCK REHAB, LLC

Location Address1 MEADOWBROOK WAYCanton, MA 02021-2496

Mailing Address500 Victory Rd Ste 3Quincy, MA 02171-3132 · (617) 302-3487

Phone(617) 302-3487

Organization SubpartNo

Authorized OfficialJane BombardierCeo · (201) 956-3977

Enumeration DateDecember 5, 2019

Last NPPES UpdateJanuary 7, 20264 updates tracked since enumeration

NPPES CertifiedJanuary 7, 2026

✔ NPI 1891332193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities

Taxonomy Code324500000X

Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

1 MEADOWBROOK WAY, Canton, MA 02021

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.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 22D2188397

Bedrock Rehab LLC · Canton, MA

Expired · Jul 15, 2026

CLIA Number22D2188397

Laboratory TypeSubstance Abuse Treatment

Certificate Effective DateJuly 16, 2024

Certificate Expiration DateJuly 15, 2026

Laboratory DirectorRonald E. Bugaoan

Laboratory Phone(617) 977-6580

Laboratory LocationBedrock Rehab LLC1 Meadowbrook Way, Canton, MA 02021

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

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