SRC CHESTNUT HILL SNF, LLC (NPI# 1437523057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437523057 |
| Entity Type | Organization |
| Organization Name | SRC CHESTNUT HILL SNF, LLC |
| Practice Address |
615 Heath St Chestnut Hill MA 02467-2160 |
| Mailing Address |
63 Kendrick St Needham MA 02494-2708 |
| Practice Telephone | 6172439990 |
| 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 CHESTNUT HILL SNF, LLC | 63 Kendrick Street, Needham, MA 02494 |
| Street Address |
615 HEATH ST |
| City | CHESTNUT HILL |
| State | MA |
| Zip Code | 02467-2160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861428229 | Epoch Sl Viii Inc | Skilled Nursing Facility | 615 Heath St, Chestnut Hill, MA 02467 | 2006-06-25 |
| 1760096531 | Julianne Beck | Physical Therapist | 615 Heath St, Chestnut Hill, MA 02467-2160 | 2020-08-31 |
| 1619588696 | Tessa Boyle | Speech-Language Pathologist | 615 Heath St, Chestnut Hill, MA 02467-2160 | 2020-08-12 |
| 1487298030 | Ryan O'malley | Physical Therapy Assistant | 615 Heath St, Chestnut Hill, MA 02467-2160 | 2019-11-06 |
| 1760025597 | Ginger Care, Inc. | Assisted Living Facility | 615 Heath St, Chestnut Hill, MA 02467-2160 | 2019-10-24 |
| 1245873074 | Ginger Care, Inc. | Skilled Nursing Facility | 615 Heath St, Chestnut Hill, MA 02467-2160 | 2019-10-24 |
| 1174174148 | Heather Lee Smith | Occupational Therapy Assistant | 615 Heath St, Chestnut Hill, MA 02467-2160 | 2019-09-21 |
| 1093364879 | Maria Murphy | Occupational Therapy Assistant | 615 Heath St, Chestnut Hill, MA 02467-2160 | 2019-09-05 |
| 1942857701 | Regina Gail Mastrobattista | Occupational Therapist | 615 Heath St, Chestnut Hill, MA 02467-2160 | 2019-08-26 |
| 1053895276 | Gayle Denise Henry | Social Worker | 615 Heath St, Chestnut Hill, MA 02467-2160 | 2018-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013542810 | Joanne L. Faber | Nurse Practitioner | 136 Beverly Road, Chestnut Hill, MA 02467 | 2020-03-12 |
| 1992338859 | Kim Elizabeth Chaplain | Physical Therapy Assistant | 615 Heath Street, Chestnut Hill, Ma. 02467, Chestnut Hill, MA 02467 | 2020-02-19 |
| 1407325251 | Tara Paulauskas | Social Worker | 791 Hammond St, Chestnut Hill, MA 02467 | 2018-11-21 |
| 1932684776 | Jeannine Kremer | Social Worker | 140 Commonweakth Ave, Chestnut Hill, MA 02467 | 2018-09-27 |
| 1639671563 | Kathleen Houlihan | Social Worker | Boston College Campus School - Campion 197, 140 Commonwealth Ave, Chestnut Hill, MA 02467 | 2018-03-07 |
| 1609374891 | The Counseling Center At Cela | Counselor | 675 Vfw Parkway #271, Chestnut Hill, MA 02467 | 2018-01-23 |
| 1033566328 | Boston Body Evolution LLC | Specialist | 1290 Boylston Street, Chestnut Hill, MA 02467 | 2016-05-17 |
| 1669827630 | Mikayla Wynter | Counselor | 393 Hammond St, Chestnut Hill, MA 02467 | 2016-04-27 |
| 1043697675 | Accurate Care Afc, Inc. | Home Health | 50/56 Broadlawn Park, Apt 506, Chestnut Hill, MA 02467 | 2015-05-04 |
| 1609285360 | Oba LLC | Anesthesiology | 6 Eliot Crescent, Brookline, MA 02467 | 2014-08-07 |
| Find all providers in zip 02467 | ||||
| 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 |
|---|---|---|---|---|
| 1861428229 | Epoch Sl Viii Inc | Skilled Nursing Facility | 615 Heath St, Chestnut Hill, MA 02467 | 2006-06-25 |
| 1972555886 | Ggnsc Chestnut Hill LLC | Skilled Nursing Facility | 188 Florence St, Chestnut Hill, MA 02467-2641 | 2006-05-17 |
| 1245873074 | Ginger Care, Inc. | Skilled Nursing Facility | 615 Heath St, Chestnut Hill, MA 02467-2160 | 2019-10-24 |
| 1932638491 | 188 Florence Street Operator LLC | Skilled Nursing Facility | 188 Florence St, Chestnut Hill, MA 02467-2641 | 2017-06-08 |
| 1154871226 | Redwood Acquisition East LLC | Skilled Nursing Facility | 188 Florence St, Chestnut Hill, MA 02467-2641 | 2016-10-12 |
| 1538349212 | Epoch Senior Healthcare of Chestnut Hill, LLC | Skilled Nursing Facility | 615 Heath St, Chestnut Hill, MA 02467-2160 | 2007-11-09 |
| 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 | ||||
| City | CHESTNUT HILL |
| Zip Code | 02467 |
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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.