ACADEMY NURSING HOME INC (NPI# 1366497125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366497125 |
| Entity Type | Organization |
| Organization Name | ACADEMY NURSING HOME INC |
| Other Organization Name | ACADEMY MANOR |
| Practice Address |
89 Morton St Andover MA 01810-2036 |
| Mailing Address |
101 E State St Kennett Square PA 19348-3109 |
| Practice Telephone | 9784750944 |
| Practice Fax Number | 9784708504 |
| Mailing Telephone | 6109254436 |
| Mailing Fax Number | 6109254351 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2018-06-21 |
| Authorized Official Name | JANE DROPESKEY (CORPORATE MANAGER) |
| Authorized Official Telephone | 6109254231 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 0247 | MA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0940160 | 05 | |
| MA | AETNA-HMO | 2461928 | 01 |
| UNITED - EVERCARE | 71-00249 | 01 |
| Other Name | Type Code |
|---|---|
| Academy Manor | Doing Business As Name - Organization |
| Street Address |
89 MORTON ST |
| City | ANDOVER |
| State | MA |
| Zip Code | 01810-2036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693237 | Jocelyn Guild | Occupational Therapy Assistant | 89 Morton St, Andover, MA 01810-2036 | 2020-09-11 |
| 1043869704 | Katelyn Dandrea | Occupational Therapist | 89 Morton St, Andover, MA 01810-2036 | 2019-09-05 |
| 1003375601 | Brianna Lee Lowden | Occupational Therapy Assistant | 89 Morton St, Andover, MA 01810-2036 | 2019-03-14 |
| 1780180208 | Wilawan None Chaiyarat | Clinic/Center | 89 Morton St, Andover, MA 01810-2036 | 2018-04-03 |
| 1518485895 | Stephanie E Dew | Physical Therapist | 89 Morton St, Andover, MA 01810-2036 | 2017-09-06 |
| 1427576057 | Amanda Orzewicz | Speech-Language Pathologist | 89 Morton St, Andover, MA 01810 | 2017-09-04 |
| 1972979011 | Rachel Clark | Physical Therapist | 89 Morton St, Andover, MA 01810-2036 | 2015-08-12 |
| 1831576941 | Jenna Donovan | Physical Therapist | 89 Morton St, Andover, MA 01810-2036 | 2015-04-28 |
| 1114317351 | Amanda Lee Cote | Occupational Therapist | 89 Morton St, Andover, MA 01810-2036 | 2015-01-26 |
| 1508265042 | Heidi Franz | Occupational Therapy Assistant | 89 Morton St, Andover, MA 01810-2036 | 2014-08-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871123513 | Jill Katherine Priestley | Registered Nurse | 251 South Main Street, Andover, MA 01810 | 2020-01-22 |
| 1023672086 | Diane Marie Gallant | Occupational Therapy Assistant | 5606 80 Andover Street, Andover, MA 01810 | 2019-04-25 |
| 1932677473 | Jessica Howie | Physician Assistant | 28 Andover St Fl 1, Andover, MA 01810 | 2018-11-02 |
| 1972087138 | Mia Cloonan | Social Worker | 1 Punchard Avenue, Apt. 3 Rear, Andover, MA 01810 | 2018-09-23 |
| 1063995462 | Janet Suleski | Social Worker | 10 Stevens St, Andover, MA 01810 | 2018-09-11 |
| 1942794706 | Alison Catherine Lynch | Optometrist | 7 Parthenon Cir, Andover, MA 01810 | 2018-06-15 |
| 1740773647 | Wandajune Bishop-towle | Psychologist | 75 Wild Rose Dr., Andover, MA 01810 | 2018-06-14 |
| 1235689860 | Jo-ann Elizabeth Newcomb | Registered Nurse | 12 Hemlock Rd, Andover, MA 01810 | 2016-10-06 |
| 1922476712 | Marianela Rivera | Physical Therapist | 32 Osgood St., Andover, MA 01810 | 2015-09-10 |
| 1447535935 | Kathleen L Mccracken | Occupational Therapy Assistant | 200 Brickstone Square, 3rd Floor, Genesis Rehab Services, Andover, MA 01810 | 2011-10-15 |
| Find all providers in zip 01810 | ||||
| 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 |
|---|---|---|---|---|
| 1689992752 | Andover Senior Care, LLC | Skilled Nursing Facility | 224 E Central Ave, Andover, KS 67002 | 2010-05-13 |
| 1073562021 | Wingate At Andover, Inc. | Skilled Nursing Facility | 80 Andover St, Andover, MA 01810-5606 | 2006-05-08 |
| 1548241185 | Andover Village Retirement Community, Ltd | Skilled Nursing Facility | 486 S Main St, Andover, OH 44003-9602 | 2005-11-10 |
| 1700346459 | Bear Mt Andover LLC | Skilled Nursing Facility | 80 Andover St, Andover, MA 01810-5606 | 2019-03-20 |
| 1730627720 | Alliance Hc Holdings LLC | Skilled Nursing Facility | 1 O'brien Lane, Andover, NJ 07821 | 2017-02-09 |
| 1528506003 | Alliance Hc 11 LLC | Skilled Nursing Facility | 99 Mulford Rd, Andover, NJ 07821-2600 | 2017-02-06 |
| 1164698270 | Accukare Inc | Skilled Nursing Facility | 13750 Crosstown Dr Ste 202, Andover, MN 55304 | 2008-05-08 |
| 1790967511 | 89 Morton Street Operations LLC | Skilled Nursing Facility | 89 Morton St, Andover, MA 01810-2036 | 2007-12-04 |
| 1194771410 | Andover Medical Investors, LLC | Skilled Nursing Facility | 621 W 21st St, Andover, KS 67002-8498 | 2006-05-26 |
| 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.