BEDROCK REHAB LLC NPI 1891332193

NPI Information

  • NPI: 1891332193
  • Provider Name: BEDROCK REHAB, LLC
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • CLIA Number: 22D2188397
  • Address: 1 MEADOWBROOK WAY
    CANTON, MA
    ZIP 02021
  • Phone: (617) 302-3487

Map and Directions

Get Directions

NPI Details

BEDROCK REHAB, LLC is a substance abuse rehabilitation facility in Canton, MA. The provider is 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. BEDROCK REHAB, LLC NPI is 1891332193. The provider is registered as an organization entity type.

The provider's business location address is:

1 MEADOWBROOK WAY
CANTON, MA
ZIP 02021-496
Phone: (617) 302-3487

The provider's authorized official is Joseph Vericker .
The authorized official title is Authorized Official and has the following contact phone number (800) 218-1734.

The CLIA number assigned to this NPI record is 22D2188397 - other - substance abuse treatment with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/5/2019 and was last updated on 5/23/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1324500000XSubstance Abuse Rehabilitation FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI