WABAN HEALTH CENTER, LLC (NPI# 1346662046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346662046 |
| Entity Type | Organization |
| Organization Name | WABAN HEALTH CENTER, LLC |
| Other Organization Name | WABAN HEALTH CENTER |
| Practice Address |
20 Kinmonth Rd Waban MA 02468-1503 |
| Practice Telephone | 6173328481 |
| Practice Fax Number | 6173328959 |
| Mailing Telephone | 6173328481 |
| Mailing Fax Number | 6173328959 |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2014-04-02 |
| Authorized Official Name | MR. AVI LIPSHUTZ (CEO) |
| Authorized Official Telephone | 7327104431 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 0387 | MA | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Waban Health Center | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WABAN HEALTH CENTER, LLC | 20 Kinmonth Rd, Newton, MA 02468-1503 |
| Massachusetts Corporations | WABAN HEALTH CENTER, LLC | 2363 Lakewood Road, Toms River, NJ 08755 |
| Street Address |
20 KINMONTH RD |
| City | WABAN |
| State | MA |
| Zip Code | 02468-1503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124284005 | Jessica Kate Colangelo | Social Worker | 20 Kinmonth Rd, Waban Health & Rehabilitation, Waban, MA 02468-1503 | 2008-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467934539 | Susan Mary Crowley | Social Worker | Waban Health Center, 20 Kinmonth Road, Newton, MA 02468 | 2018-09-05 |
| 1922200534 | Erin Beth Carpe | Dentist | 17 Ferncroft Road, Waban, MA 02468 | 2007-06-05 |
| 1770616534 | Laboratory for Stone Research | Clinical Medical Laboratory | 81 Wyman Street, Newton, MA 02468 | 2007-03-13 |
| 1457495111 | Margaret Selkin Fogel | Psychologist | 15 Homestead Street, Newton, MA 02468 | 2007-02-16 |
| 1619028743 | Patricia Anne Dean | Psychologist | 91 Wyman Street, Waban, MA 02468 | 2007-01-16 |
| 1225128663 | Sue M Sand | Psychologist | 32 Devonshire Rd, Newton, MA 02468 | 2006-10-14 |
| 1235246885 | Susan Browning Wadsworth | Psychologist | 410 Woodward St., Newton, MA 02468 | 2006-08-23 |
| 1184647539 | Cynthia Rose Shapiro | Dentist | 1957 Beacon Street, Waban, MA 02468 | 2006-07-26 |
| 1083633093 | Peggy Ellen Warren | Psychiatry & Neurology | 40 Windsor Road, Waban, MA 02468 | 2006-07-19 |
| 1467545798 | Sanford Marvin Portnoy | Psychologist | 35 Helene Rd, Waban, MA 02468-1024 | 2006-09-30 |
| Find all providers in zip 02468 | ||||
| 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. |
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|---|---|---|---|---|
| 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 | ||||
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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.