SENIOR RESIDENTIAL CARE/LOWELL, INC. (NPI# 1720037468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720037468 |
| Entity Type | Organization |
| Organization Name | SENIOR RESIDENTIAL CARE/LOWELL, INC. |
| Other Organization Name | WINGATE AT LOWELL REHAB. & SKILLED NSG. RESIDENCE |
| Practice Address |
500 Wentworth Ave Lowell MA 01852-4937 |
| Mailing Address |
63 Kendrick St Needham MA 02494-2708 |
| Practice Telephone | 9784581271 |
| Practice Fax Number | 9784534413 |
| Mailing Telephone | 7817079575 |
| Mailing Fax Number | 7817079599 |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2012-10-05 |
| Authorized Official Name | MS. TAMILYN M. LEVIN (CFO) |
| Authorized Official Telephone | 7817079510 |
| Authorized Official Credential | ESQ. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 0846 | MA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110026632A | 05 |
| Other Name | Type Code |
|---|---|
| Wingate at Lowell Rehab. & Skilled Nsg. Residence | Doing Business As Name - Organization |
| Street Address |
500 WENTWORTH AVE |
| City | LOWELL |
| State | MA |
| Zip Code | 01852-4937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437619186 | Bear Mt Lowell LLC | Skilled Nursing Facility | 500 Wentworth Ave, Lowell, MA 01852-4937 | 2019-03-20 |
| 1245701507 | Jennifer Anita Hann | Physical Therapy Assistant | 500 Wentworth Ave, Lowell, MA 01852-4937 | 2018-12-16 |
| 1710458930 | Mary George | Occupational Therapy Assistant | 500 Wentworth Ave, Lowell, MA 01852-4937 | 2018-12-16 |
| 1770054983 | Marguerite Sabatino | Occupational Therapy Assistant | 500 Wentworth Ave, Lowell, MA 01852-4937 | 2018-12-16 |
| 1770054272 | Donna Rose Intravaia-higgins | Occupational Therapist | 500 Wentworth Ave, Lowell, MA 01852-4937 | 2018-12-09 |
| 1205206877 | Lauren Nelson | Physical Therapy Assistant | 500 Wentworth Ave, Lowell, MA 01852-4937 | 2015-09-25 |
| 1447678750 | Tamie Harris | Physical Therapy Assistant | 500 Wentworth Ave, Lowell, MA 01852-4937 | 2014-04-03 |
| 1497173769 | Rosita Dechalus | Physical Therapy Assistant | 500 Wentworth Ave, Lowell, MA 01852-4937 | 2014-04-02 |
| 1871916809 | Amy Remington | Occupational Therapy Assistant | 500 Wentworth Ave, Lowell, MA 01852-4937 | 2014-01-27 |
| 1932300837 | Pamela Wright Sierra | Occupational Therapist | 500 Wentworth Ave, Lowell, MA 01852-4937 | 2007-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881244747 | Erin Elisabeth Burke | Specialist/Technologist | 424 Douglas Rd, Lowell, MA 01852 | 2019-09-12 |
| 1235799602 | Osvaldo Rivera | Social Worker | 77 East Merrimack Street Loweell Ma 01852, Lowell, MA 01852 | 2019-06-18 |
| 1003393620 | Erin Maureen Hurley | Social Worker | 34 Newhall Street #204, Lowell, MA 01852 | 2018-07-26 |
| 1699273540 | Laura Ardila | Registered Nurse | 10 Linden St, Lowell, MA 01852 | 2018-01-25 |
| 1285153692 | Ashley Holmes | Counselor | 77 E Merrimack Street, Lowell, MA 01852 | 2017-09-18 |
| 1932627155 | Veronica H Birungi | Registered Nurse | 257 West Manchester Street, Lowell, MA 01852 | 2017-09-08 |
| 1255859245 | Kalyn Lee O'brien | Counselor | 77 E Merrimack St., Lowell, MA 01852 | 2017-08-30 |
| 1912424920 | Danielle Dirton | Behavior Technician | 106 Lundberg St. Unit 10, Lowell, MA 01852 | 2017-08-30 |
| 1770007072 | Leena Chann | Registered Nurse | 166 Central St., Lowell, MA 01852 | 2017-07-28 |
| 1942724257 | Stephanie Catherine Joubert | Registered Nurse | 166 Central Street, Lowell, MA 01852 | 2017-07-28 |
| Find all providers in zip 01852 | ||||
| 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 |
|---|---|---|---|---|
| 1952726663 | Hancock Regional Hospital | Skilled Nursing Facility | 18275 S Burr St, Lowell, IN 46356-0020 | 2014-03-04 |
| 1033486394 | Dyouville Transitional Care Inc | Skilled Nursing Facility | 1071 Varnum Ave, Lowell, MA 01854-1913 | 2011-11-30 |
| 1235298514 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 710 Michigan Ave, Lowell, IN 46356 | 2006-12-06 |
| 1588690366 | Town & Country Nursing Center | Skilled Nursing Facility | 259 Baldwin St, Lowell, MA 01851-2211 | 2006-06-24 |
| 1760426282 | Northwood Ma Snf LLC | Skilled Nursing Facility | 1010 Varnum Avenue, Lowell, MA 01854 | 2006-06-15 |
| 1114960515 | Willow Manor Nursing Home, Inc. | Skilled Nursing Facility | 30 Princeton Blvd, Lowell, MA 01851-2405 | 2006-06-14 |
| 1487692927 | Asl, Inc. | Skilled Nursing Facility | 841 Merrimack St, Lowell, MA 01854-3500 | 2006-06-04 |
| 1639124308 | Laurel Health Care Company of Lowell | Skilled Nursing Facility | 350 N Center St, Lowell, MI 49331-1212 | 2006-05-23 |
| 1538159785 | 19 Varnum Street Operating Co,llc | Skilled Nursing Facility | 19 Varnum St, Lowell, MA 01850-2132 | 2005-10-27 |
| 1639166721 | Fairhaven Nursing | Skilled Nursing Facility | 476 Varnum Ave, Lowell, MA 01854-2122 | 2005-10-04 |
| Find all providers in LOWELL | ||||
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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.