LEDGEWOOD HEALTHCARE CORPORATION (NPI# 1558448878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558448878 |
Entity Type | Organization |
Organization Name | LEDGEWOOD HEALTHCARE CORPORATION |
Other Organization Name | LEDGEWOOD REHABILITATION AND SKILLED NURSING CENTER |
Practice Address |
87 Herrick St Beverly MA 01915-2773 |
Practice Telephone | 9789211392 |
Practice Fax Number | 9789278627 |
Mailing Telephone | 9789211392 |
Mailing Fax Number | 9789278627 |
Enumeration Date | 2006-11-01 |
Last Update Date | 2015-05-12 |
Authorized Official Name | MR. JOSEPH WEGLARZ (DIRECTOR) |
Authorized Official Telephone | 9783265982 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 314000000X | Skilled Nursing Facility | 0878 | MA | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | 0926540 | 05 | |
MA | TUFTS | 802864 | 01 |
MA | UNITED HEALTHCARE | 991178 | 01 |
MA | BLUE CROSS BLUE SHIELD | 2222530901 | 01 |
MA | AETNA | 5458210 | 01 |
MA | HPHC | 902081 | 01 |
Other Name | Type Code |
---|---|
Ledgewood Rehabilitation and Skilled Nursing Center | Doing Business As Name - Organization |
Street Address |
87 HERRICK ST |
City | BEVERLY |
State | MA |
Zip Code | 01915-2773 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144237215 | Carl E Johnson | Internal Medicine | 87 Herrick St, Beverly, MA 01915-2773 | 2006-08-02 |
1780165670 | Jennifer Lucich | Physical Therapist | 87 Herrick St, Beverly, MA 01915-2773 | 2018-08-28 |
1154802270 | Nancy Garvey | Occupational Therapist | 87 Herrick St, Beverly, MA 01915-2773 | 2018-08-27 |
1043791155 | Marie Glaros | Physical Therapist | 87 Herrick St, Beverly, MA 01915-2773 | 2018-08-27 |
1467933572 | Martha Nichols | Physical Therapist | 87 Herrick St, Beverly, MA 01915-2773 | 2018-08-27 |
1558856419 | Steven Massero | Occupational Therapist | 87 Herrick St, Beverly, MA 01915-2773 | 2018-06-24 |
1134367006 | Cathy Lynne Johnson | Clinical Nurse Specialist | 87 Herrick St, Beverly, MA 01915-2773 | 2009-01-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497377253 | Janice E. Schwartz | Psychologist | 100 Cummings Center, 232 C, Beverly, MA 01915 | 2020-05-14 |
1720625452 | Campos Dental Care PC | Dentist | 127 Dodge Street, Beverly, MA 01915 | 2019-12-02 |
1144781477 | Nutrimedy | Dietitian, Registered | 6 Oceanside Drive, Beverly, MA 01915 | 2019-03-28 |
1376001073 | Benjamin David Stebbings | Counselor | 199 Rosewood Dr. Suite 250, Beverly, MA 01915 | 2019-03-12 |
1376000455 | Patrick Matthew Noble | Occupational Therapist | Peer Projects - Therapy From The Heart, 100 Cummings Center Suite 350g, Beverly, MA 01915 | 2019-02-26 |
1174007900 | Nicole Morreo | Psychologist | 480 Rantoul St., 208, Beverly, MA 01915 | 2018-09-18 |
1891282299 | Jeanne Tomich | Psychologist | 110 Hart St., Beverly, MA 01915 | 2018-04-20 |
1518469089 | Kathleen L Golemon | Specialist | 100 Cummings Center Suite 158-d, Beverly, MA 01915 | 2018-03-01 |
1629582556 | Sarah Elizabeth Tsouvalas | Nurse Practitioner | 900 Cummings Center, Suite 111w, Lahey Health Primary Care, Beverly, Beverly, MA 01915 | 2017-11-30 |
1235657339 | Kathleen Ann Downey | Registered Nurse | Element Care, 166d Cummings Center, Beverly, MA 01915 | 2017-09-08 |
Find all providers in zip 01915 |
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 |
---|---|---|---|---|
1629491782 | Beverly Health Care Co., LLC | Skilled Nursing Facility | 501 Pinecrest Dr, Beverly, OH 45715-8909 | 2014-01-27 |
1023017951 | 265 Essex Street Operating Company, LLC | Skilled Nursing Facility | 265 Essex Street, Beverly, MA 01915 | 2005-07-21 |
1861817306 | Blueberry Hill Operator LLC | Skilled Nursing Facility | 75 Brimbal Ave, Beverly, MA 01915-6009 | 2014-02-20 |
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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 |
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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.