ELLIS NURSING HOME, INC. (NPI# 1700872967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700872967 |
| Entity Type | Organization |
| Organization Name | ELLIS NURSING HOME, INC. |
| Other Organization Name | ELLIS NURSING & REHABILITATION |
| Practice Address |
135 Ellis Ave Norwood MA 02062-3946 |
| Practice Telephone | 7817626880 |
| Practice Fax Number | 7817697515 |
| Mailing Telephone | 7817626880 |
| Mailing Fax Number | 7817697515 |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2017-04-04 |
| Authorized Official Name | MR. NORMAN J SCZEPANSKI JR. (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 5084502482 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 0793 | MA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0908029 | 05 | |
| MA | HARVARD PILGRIM HEALTH PL | 903249 | 01 |
| MD | BLUE CROSS | 2222521101 | 01 |
| Other Name | Type Code |
|---|---|
| Ellis Nursing & Rehabilitation | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790772192 | Ellis Nursing Home, Inc. | Family Medicine | 135 Ellis Ave, Norwood, MA 02062-3946 | 2005-09-30 |
| Street Address |
135 ELLIS AVE |
| City | NORWOOD |
| State | MA |
| Zip Code | 02062-3946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821580283 | Pamela Julia Morris | Physical Therapist | 135 Ellis Ave, Norwood, MA 02062-3946 | 2018-06-01 |
| 1053802298 | Diane Kuzio | Physical Therapist | 135 Ellis Ave, Norwood, MA 02062-3946 | 2018-05-23 |
| 1841723772 | Ellis Skilled Nursing and Rehab | Skilled Nursing Facility | 135 Ellis Ave, Norwood, MA 02062-3946 | 2017-04-07 |
| 1225561491 | Ellis Rehab and Nursing Center | Skilled Nursing Facility | 135 Ellis Ave, Norwood, MA 02062-3946 | 2017-04-05 |
| 1720511165 | Ellis | Skilled Nursing Facility | 135 Ellis Ave, Norwood, MA 02062-3946 | 2017-04-04 |
| 1861925141 | Mia S Shriber | Physical Therapist | 135 Ellis Ave, Norwood, MA 02062-3946 | 2017-04-04 |
| 1831621366 | Michelle Beksha | Occupational Therapist | 135 Ellis Ave, Norwood, MA 02062-3946 | 2017-04-03 |
| 1891234621 | Danielle Federico | Skilled Nursing Facility | 135 Ellis Ave, Norwood, MA 02062-3946 | 2017-02-13 |
| 1790772192 | Ellis Nursing Home, Inc. | Family Medicine | 135 Ellis Ave, Norwood, MA 02062-3946 | 2005-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225647530 | Lauren Taylor Robbins | Licensed Practical Nurse | 21 Centennial Drive Apt. #3, Norwood, MA 02062 | 2020-07-23 |
| 1013566645 | David Ora Bailey | Counselor | 109 Lenox St., Norwood, MA 02062 | 2019-09-06 |
| 1124599154 | Larisa Stein Dmd, PC-family Dentist | Dentist | 661 Washington Street, Suite 211, Norwood, MA 02062 | 2018-12-17 |
| 1861963134 | Noreen Donne O'hear | Social Worker | 33 George Willett Parkway, Cleveland School, Norwood, MA 02062 | 2018-12-16 |
| 1194242719 | Bidmc Pharmacy, Inc. | Pharmacy | 128 Carnegie Row Ste 110, Norwood, MA 02062 | 2017-08-24 |
| 1023534153 | Foscaldo Healthcare LLC | Home Health | 639 Washington Street, Norwood, MA 02062 | 2017-08-21 |
| 1841710845 | Julia Rose Straus | Speech-Language Pathologist | 101 Vanderbilt Avenue, Norwood, MA 02062 | 2017-06-21 |
| 1043754484 | Recovery Solutions LLC | Clinical Medical Laboratory | 151 Edgehill Rd, Norwood, MA 02062 | 2016-12-05 |
| 1780137273 | Gentle Dental Associates, LLC | Clinic/Center | 980 Providence Highway, Norwood, MA 02062 | 2016-08-01 |
| 1720458094 | Jada Evans | Psychologist | 18 Sturtevant Ave, Apt. 1, Norwood, MA 02062 | 2015-09-30 |
| Find all providers in zip 02062 | ||||
| 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 |
|---|---|---|---|---|
| 1770973273 | Chris Varney | Skilled Nursing Facility | 75 Westview Dr, Norwood, MA 02062-5123 | 2015-02-04 |
| 1326109141 | 137 Nichols St., Inc. | Skilled Nursing Facility | 137 Nichols St, Norwood, MA 02062-2009 | 2006-12-13 |
| 1952358392 | Charlwell Healthcare LLC | Skilled Nursing Facility | 305 Walpole St, Norwood, MA 02062-3021 | 2006-05-30 |
| 1548212418 | Ggnsc Norwood LLC | Skilled Nursing Facility | 460 Washington St, Norwood, MA 02062-2399 | 2006-05-17 |
| 1629074059 | Buckingham At Norwood Care and Rehabilitation Center LLC | Skilled Nursing Facility | 100 Mcclellen St, Norwood, NJ 07648-1555 | 2005-06-21 |
| 1386290831 | Norwood Highlands Healthcare, LLC | Skilled Nursing Facility | 1578 Sherman Ave, Norwood, OH 45212-2510 | 2019-08-12 |
| 1013572080 | Revolution Charlwell LLC | Skilled Nursing Facility | 305 Walpole St, Norwood, MA 02062-3021 | 2019-05-06 |
| 1457863789 | Premier Estates 525, LLC | Skilled Nursing Facility | 1578 Sherman Ave, Norwood, OH 45212-2510 | 2017-10-26 |
| 1417486713 | 460 Washington Street Operator LLC | Skilled Nursing Facility | 460 Washington St, Norwood, MA 02062-2312 | 2017-06-08 |
| 1841723772 | Ellis Skilled Nursing and Rehab | Skilled Nursing Facility | 135 Ellis Ave, Norwood, MA 02062-3946 | 2017-04-07 |
| Find all providers in NORWOOD | ||||
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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.