COLONIAL HEALTH GROUP - EVERETT, LLC (NPI# 1487694972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487694972 |
| Entity Type | Organization |
| Organization Name | COLONIAL HEALTH GROUP - EVERETT, LLC |
| Other Organization Name | EVERETT NURSING AND REHABILITATION CENTER |
| Practice Address |
289 Elm St Everett MA 02149 |
| Mailing Address |
35 Avco Rd Haverhill MA 01835 |
| Practice Telephone | 6173876560 |
| Practice Fax Number | 6173872885 |
| Mailing Telephone | 6173876560 |
| Mailing Fax Number | 6173872885 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2007-11-19 |
| Authorized Official Name | LAURA R MCDONNELL (MANAGER) |
| Authorized Official Telephone | 9784201500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 0340 | MA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0920061 | 05 | |
| MA | ELDER SERVICE PLAN | 0000002254 | 01 |
| EVERCARE | 7180208 | 01 |
| Other Name | Type Code |
|---|---|
| Everett Nursing and Rehabilitation Center | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | COLONIAL HEALTH GROUP - EVERETT, LLC | 35 Avco Rd., Haverhill, MA 01835 |
| Street Address |
289 ELM ST |
| City | EVERETT |
| State | MA |
| Zip Code | 02149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669986832 | Vanessa Wood | Social Worker | 289 Elm St, Everett, MA 02149-5228 | 2017-11-27 |
| 1295181923 | Stephanie Hanko | Occupational Therapist | 289 Elm St, Everett, MA 02149-5228 | 2016-05-12 |
| 1720415441 | Adan Cooney | Speech-Language Pathologist | 289 Elm St, Everett, MA 02149-5228 | 2013-09-27 |
| 1053665240 | Ernc Operating, LLC | Skilled Nursing Facility | 289 Elm St, Everett, MA 02149-5228 | 2012-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336550 | Berthonya Joas | Physical Therapy Assistant | 62 Lawrence St, Everett, MA 02149 | 2020-11-03 |
| 1053940031 | Sarah Ann Bottiglio | Pharmacist | Whidden Hospital, 103 Garland Street, Everett, MA 02149 | 2020-04-02 |
| 1417494139 | Tsering Dolkar | Registered Nurse | Department of Surgery 103 Garland Street, Everett Hospital, Everett, MA 02149 | 2017-01-20 |
| 1073060190 | Egenie Desir | Registered Nurse | 102 Edith St, Everett, MA 02149 | 2016-09-07 |
| 1295113215 | Tracy Guan | Speech-Language Pathologist | 213 Springvale Ave, Everett, MA 02149 | 2015-05-11 |
| 1386075562 | Maritza Andrea Romano | Licensed Practical Nurse | 77 Clark Street, Everett, MA 02149 | 2013-12-12 |
| 1619221454 | Nicole Marie Shanahan | Social Worker | 23 Union Street, Apartment 2, Everett, MA 02149 | 2012-11-01 |
| 1760764997 | Ashish Agarwal | Pharmacist | 317 Ferry Street, Everett, MA 02149 | 2011-09-14 |
| 1851684856 | Jocelyn Ronda | Internal Medicine | Mgh Everett Family Care, 19 Norwood St, Everett, MA 02149 | 2011-05-24 |
| 1720292204 | Geraldine Chandra Martin | Optometrist | 2 Mystic View Road, Everett, MA 02149 | 2007-05-10 |
| Find all providers in zip 02149 | ||||
| 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 |
|---|---|---|---|---|
| 1306181391 | Grace Henson Manabat | Skilled Nursing Facility | 2522 131st Pl Se, Everett, WA 98208-7104 | 2012-12-03 |
| 1497884043 | Bethany of The Northwest | Skilled Nursing Facility | 2235 Lake Heights Road, Everett, WA 98201 | 2007-03-02 |
| 1477641249 | Everett Transitional Care Services | Skilled Nursing Facility | 916 Pacific Ave Fl 4, Everett, WA 98201-4147 | 2006-10-10 |
| 1508964719 | Bd Everett I, LLC | Skilled Nursing Facility | 5129 Hilltop Rd, Everett, WA 98203-3163 | 2006-09-20 |
| 1164467734 | Sunrise View Convalescent Center LLC | Skilled Nursing Facility | 2520 Madison St, Everett, WA 98203-4868 | 2006-06-18 |
| 1750321535 | Op Everett, LLC | Skilled Nursing Facility | 208 Pennknoll Rd, Everett, PA 15537-6940 | 2006-06-08 |
| 1851348460 | Sunbridge Nursing Home LLC | Skilled Nursing Facility | 1919 112th St Sw, Everett, WA 98204-3784 | 2006-05-28 |
| 1003879800 | Bethany of The Northwest | Skilled Nursing Facility | 916 Pacific Avenue, Everett, WA 98201 | 2006-04-11 |
| 1477087443 | View Ridge Care Center, LLC | Skilled Nursing Facility | 5129 Hilltop Rd, Everett, WA 98203-3163 | 2017-04-17 |
| 1750624706 | Genesis Rehab Services | Skilled Nursing Facility | 208 Pennknoll Rd, Everett, PA 15537-6940 | 2013-03-28 |
| Find all providers in EVERETT | ||||
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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.