ANNEMARK NURSING HOME, INC. (NPI# 1205818333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205818333 |
| Entity Type | Organization |
| Organization Name | ANNEMARK NURSING HOME, INC. |
| Practice Address |
133 Salem St Revere MA 02151-1114 |
| Practice Telephone | 7813224861 |
| Practice Fax Number | 7813241191 |
| Mailing Telephone | 7813224861 |
| Mailing Fax Number | 7813241191 |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2011-11-16 |
| Authorized Official Name | MRS. ELENA A. BEAN (PRESIDENT) |
| Authorized Official Telephone | 7813224861 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 0864 | MA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BLUE CROSS BLUE SHIELD | 225432 | 01 |
| MA | 0914525 | 05 | |
| MA | TUFTS PROVIDER NUMBER | 670680 | 01 |
| MA | MEDEX | 225432 | 01 |
| Street Address |
133 SALEM ST |
| City | REVERE |
| State | MA |
| Zip Code | 02151-1114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790317550 | Vero Health Xvii, LLC | Skilled Nursing Facility | 133 Salem St, Revere, MA 02151-1114 | 2020-02-10 |
| 1366978769 | Adena Flax | Occupational Therapist | 133 Salem St, Revere, MA 02151-1114 | 2017-05-04 |
| 1831637164 | Desirae Cinquanta | Speech-Language Pathologist | 133 Salem St, Revere, MA 02151-1114 | 2017-02-07 |
| 1124490552 | Maliha Rahman | Occupational Therapist | 133 Salem St, Revere, MA 02151-1114 | 2015-10-26 |
| 1417347170 | West Revere Health Center, LLC | Skilled Nursing Facility | 133 Salem St, Revere, MA 02151-1114 | 2015-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558853580 | Carla Richman | Behavioral Analyst | 29 Arnold Street, Revere, MA 02151 | 2018-06-05 |
| 1558859850 | Citizens Physical Therapy Inc | Clinic/Center | 221 Beach St, Revere, MA 02151 | 2018-04-23 |
| 1396254892 | Holness Home Care | Home Health | 959 Revere Beach Parkway, Revere, MA 02151 | 2017-09-27 |
| 1841709938 | Stefanie Finocchio-durham | Acupuncturist | 107 Pearl Ave, Apt 3, Revere, MA 02151 | 2017-09-21 |
| 1174064265 | Hope Noelle Crowe | Behavioral Analyst | 164 Winthrop Parkway, Revere, MA 02151 | 2017-03-09 |
| 1033660469 | Driss Bahraoui | Interpreter | 21 Thornton St #1, Revere, MA 02151 | 2016-10-20 |
| 1568910081 | Lindsey J. Ellermeyer | Student in an Organized Health Care Education/Training Program | Revere Community Counseling, 265 Beach Street, Revere, MA 02151 | 2016-09-13 |
| 1851743470 | Jacqueline Galvez | Counselor | 252 Proctor Ave # 3, Revere, MA 02151 | 2016-07-07 |
| 1518321090 | Kathleen Elizabeth Pellecchia | Health Educator | 454 Broadway Fl 3, Revere, MA 02151 | 2016-04-11 |
| 1780098814 | David A Gross | Internal Medicine | Mgh Revere, 385 Broadway, Revere, MA 02151 | 2014-06-17 |
| Find all providers in zip 02151 | ||||
| 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 |
|---|---|---|---|---|
| 1699772376 | Lighthouse of Revere, Inc. | Skilled Nursing Facility | 204 Proctor Ave, Revere, MA 02151-4923 | 2005-07-07 |
| 1790317550 | Vero Health Xvii, LLC | Skilled Nursing Facility | 133 Salem St, Revere, MA 02151-1114 | 2020-02-10 |
| 1417347170 | West Revere Health Center, LLC | Skilled Nursing Facility | 133 Salem St, Revere, MA 02151-1114 | 2015-02-02 |
| 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 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ANNEMARK NURSING HOME, INC..
| 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.