LYNN SHORE REST HOME, INC (NPI# 1396902235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396902235 |
| Entity Type | Organization |
| Organization Name | LYNN SHORE REST HOME, INC |
| Practice Address |
37 Breed St Lynn MA 01902-3101 |
| Practice Telephone | 7815957110 |
| Practice Fax Number | 7815922846 |
| Mailing Telephone | 7815957110 |
| Mailing Fax Number | 7815922846 |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2008-05-19 |
| Authorized Official Name | MS. SUSAN MARY SOLIMINE (ADMINISTRATOR) |
| Authorized Official Telephone | 7815957110 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
1287 | MA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 5505020 | 05 |
| Street Address |
37 BREED ST |
| City | LYNN |
| State | MA |
| Zip Code | 01902-3101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720225154 | Lynn Shore Rest Home Np, Inc. | Custodial Care Facility | 37 Breed St, Lynn, MA 01902-3101 | 2009-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093291130 | Top Care Physical Therapy Rehab | Clinic/Center | 373 Chatham St # 2, Lynn, MA 01902 | 2018-07-12 |
| 1407343726 | Patricia De Leon | Developmental Therapist | 176 Franklin St., Lynn, MA 01902 | 2018-04-23 |
| 1578076725 | Janice S. Baltoumas | Dietitian, Registered | Element Care Inc., 37 Friend Street, Lynn, MA 01902 | 2017-11-09 |
| 1396263174 | Jayna Kathryn Doherty-kinloch | Social Worker | 31 Clark Street, Lynn, MA 01902 | 2017-08-31 |
| 1891219416 | Omobolanle O. Akinyemi | Licensed Practical Nurse | 9 Buffum St, Element Care Inc, Lynn, MA 01902 | 2017-07-26 |
| 1003330523 | Jessica Lee Crowley | Registered Nurse | 9 Buffum St., Element Care Inc, Lynn, MA 01902 | 2017-07-26 |
| 1689198228 | Shannon Gomatos | Registered Nurse | 20 School St., Lynn, MA 01902 | 2017-07-26 |
| 1578087193 | Josephine P. Cooke | Registered Nurse | 62 Market St., Element Care Inc, Lynn, MA 01902 | 2017-07-26 |
| 1316471568 | Ujunwa Okwukaogu | Registered Nurse | 118 Franklin Street #3, Lynn, MA 01902 | 2017-04-14 |
| 1033655501 | Francis Howard Crowley | Social Worker | 37 Friend Street, Element Care, Lynn, MA 01902 | 2017-01-09 |
| Find all providers in zip 01902 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962809723 | Medicine On Time Corp. | Custodial Care Facility | 154 Lynnway Unit 508, Lynn, MA 01902-3447 | 2014-11-21 |
| 1295992139 | Atlantic Rest Home, Inc | Custodial Care Facility | 60 Atlantic St, Lynn, MA 01902-3115 | 2008-05-19 |
| 1720225154 | Lynn Shore Rest Home Np, Inc. | Custodial Care Facility | 37 Breed St, Lynn, MA 01902-3101 | 2009-01-07 |
| 1770729105 | Atlantic Rest Home Np, Inc. | Custodial Care Facility | 60 Atlantic St, Lynn, MA 01902-3115 | 2009-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437794641 | Victoria Health Services Inc | Custodial Care Facility | 10 Chase Dr, Sharon, MA 02067-2903 | 2019-11-12 |
| 1376089169 | Theresa Kirby | Custodial Care Facility | 119 Robbins St, Milton, MA 02186-2535 | 2017-01-17 |
| 1518417138 | Helping Hand Adult Say Care Health Center Inc | Custodial Care Facility | 300 Hartwell St, Fall River, MA 02721-2912 | 2016-10-06 |
| 1750831681 | Sweet Home Corp | Custodial Care Facility | 112 Narragansett Blvd, Chicopee, MA 01013-2120 | 2016-10-04 |
| 1336592187 | Bamboo Adult Day Health | Custodial Care Facility | 185 Perkins St, Brockton, MA 02301 | 2016-07-18 |
| 1316390248 | Better Life At Home Inc. | Custodial Care Facility | 292 Salem St, Revere, MA 02151-1000 | 2016-07-15 |
| 1518350875 | Millennium Home Care LLC | Custodial Care Facility | 564 Main St Ste 203, Waltham, MA 02452-5559 | 2015-03-11 |
| 1750772570 | Chika Patience Okerekw-nwankwo | Custodial Care Facility | 22 Marion Street, Randolph, MA 02368 | 2015-02-16 |
| 1467852640 | Good Shepherd Services | Custodial Care Facility | 103 Selwyn Rd, Randolph, MA 02368-5185 | 2014-08-26 |
| 1255747838 | Gvna Healthcare, Inc | Custodial Care Facility | 34 Pearly Lane, Gardner, MA 01440-1736 | 2014-07-03 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on LYNN SHORE REST 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.