SRC NORTON SNF, LLC (NPI# 1063886604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063886604 |
| Entity Type | Organization |
| Organization Name | SRC NORTON SNF, LLC |
| Practice Address |
184 Mansfield Ave Norton MA 02766-1306 |
| Mailing Address |
63 Kendrick St Needham MA 02494-2708 |
| Practice Telephone | 5082857745 |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2015-11-19 |
| Authorized Official Name | TAMILYN LEVIN (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 7817079510 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | SRC NORTON SNF, LLC | 63 Kendrick Street, Needham, MA 02494 |
| Street Address |
184 MANSFIELD AVE |
| City | NORTON |
| State | MA |
| Zip Code | 02766-1306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942246459 | Jacs Ops Iv, Inc | Skilled Nursing Facility | 184 Mansfield Ave, Norton, MA 02766-1306 | 2006-06-22 |
| 1801432877 | Norton Ma Snf Management, LLC | Skilled Nursing Facility | 184 Mansfield Ave, Norton, MA 02766-1306 | 2019-11-25 |
| 1700355476 | Ryan K Finn | Physical Therapy Assistant | 184 Mansfield Ave, Norton, MA 02766-1306 | 2018-11-25 |
| 1730657859 | Jennifer L Roscoe | Physical Therapy Assistant | 184 Mansfield Ave, Norton, MA 02766-1306 | 2018-11-06 |
| 1619157393 | Epoch Senior Healthcare of Norton, LLC | Skilled Nursing Facility | 184 Mansfield Ave, Norton, MA 02766-1306 | 2007-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780815852 | Allison Mckay | Physical Therapist | 250 East Main Street, Norton, MA 02766 | 2009-08-06 |
| 1336344340 | Stephanie Stanley | Counselor | 108 W. Main Street, Norton, MA 02766 | 2007-06-19 |
| 1093831802 | Jacs Ops Iv, Inc | Assisted Living Facility | 190 Mansfield Avenue, Norton, MA 02766 | 2007-03-22 |
| 1659409936 | Department of Mental Health | Community/Behavioral Health | 108 West Main Street, Norton, MA 02766 | 2007-03-01 |
| 1760559504 | Dr Ted F Bukowski & Assoc PC | Optometrist | 140 East Main St, Norton, MA 02766 | 2006-11-29 |
| 1356434161 | Robert Wesley Vokey | Dentist | 275 West Main St, Norton, MA 02766 | 2006-10-02 |
| 1730286279 | Town of Norton | Public Health or Welfare | 70 East Main Street, Norton, MA 02766 | 2006-09-19 |
| 1275515975 | Tina Beth Berlad | Speech-Language Pathologist | 215 Main St, Norton, MA 02766 | 2005-11-17 |
| 1679084768 | Norton Physical Therapy, LLC | Clinic/Center | 184 West Main Street, Suite 102, Norton, MA 02766 | 2017-10-17 |
| 1932488483 | Heather Duquette | Social Worker | 87 E Main St, Norton, MA 02766 | 2011-08-15 |
| Find all providers in zip 02766 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (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. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316130602 | Wellmont Health System | Skilled Nursing Facility | 310 3rd St Ne, Norton, VA 24273 | 2007-08-21 |
| 1942246459 | Jacs Ops Iv, Inc | Skilled Nursing Facility | 184 Mansfield Ave, Norton, MA 02766-1306 | 2006-06-22 |
| 1124061338 | Norton Hma Inc | Skilled Nursing Facility | 3rd St Ne, Norton, VA 24273 | 2006-06-14 |
| 1801432877 | Norton Ma Snf Management, LLC | Skilled Nursing Facility | 184 Mansfield Ave, Norton, MA 02766-1306 | 2019-11-25 |
| 1619157393 | Epoch Senior Healthcare of Norton, LLC | Skilled Nursing Facility | 184 Mansfield Ave, Norton, MA 02766-1306 | 2007-11-09 |
| 1427088038 | Norton County Hospital | Skilled Nursing Facility | 102 E Holme St, Norton, KS 67654 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255945325 | Holyoke Care Center, LLC | Skilled Nursing Facility | Holyoke Care Center, LLC, 35 Holy Family Road, Holyoke, MA 01040 | 2020-09-04 |
| 1093365322 | Seashore Pointe Rehab Center LLC | Skilled Nursing Facility | Seashore Pointe Rehab Center LLC, 100 Alden Street, Provincetown, MA 02657 | 2019-09-18 |
| 1548813850 | Pleasant Bay of Brewster Rehab Center LLC | Skilled Nursing Facility | 383 South Orleans Road, Brewster, MA 02631 | 2019-07-17 |
| 1396208039 | Wilmington Rehab Center LLC | Skilled Nursing Facility | 90 West Street, Wilmington, MA 01887 | 2019-04-10 |
| 1972039113 | Lutheran Home of Jamaica Plain, Inc. | Skilled Nursing Facility | 174 Forest Hills St, Jamaica Plain, MA 02130-3353 | 2017-05-09 |
| 1033657796 | Regis College | Skilled Nursing Facility | 1 Chase Ln, Lynn, MA 01902-3266 | 2017-02-02 |
| 1174061832 | Regis College | Skilled Nursing Facility | 88 Franklin St, Lynn, MA 01902-4168 | 2017-02-02 |
| 1679010193 | Juliana | Skilled Nursing Facility | 414 Shaw St, Braintree, MA 02184-1226 | 2017-01-22 |
| 1174067052 | Companion Health Services | Skilled Nursing Facility | 284 North St, Boston, MA 02113-2108 | 2016-12-12 |
| 1104276187 | National Healthcare Corporation | Skilled Nursing Facility | 421 Laurel St, Bridgewater, MA 02324-2703 | 2016-06-21 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.