JAVER, LLC (NPI# 1720074594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720074594 |
| Entity Type | Organization |
| Organization Name | JAVER, LLC |
| Other Organization Name | PHILLIPS MANOR NURSING HOME |
| Practice Address |
28 Linwood Rd Lynn MA 01905-1638 |
| Practice Telephone | 7815928000 |
| Practice Fax Number | 7815981556 |
| Mailing Telephone | 7815928000 |
| Mailing Fax Number | 7815981556 |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JALIL NASSIRZADEH (ADMINISTRATOR/OWNER) |
| Authorized Official Telephone | 7815928000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 0332 | MA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0925403 | 05 |
| Other Name | Type Code |
|---|---|
| PHILLIPS MANOR NURSING HOME | Doing Business As Name - Organization |
| Street Address |
28 LINWOOD RD |
| City | LYNN |
| State | MA |
| Zip Code | 01905-1638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972029098 | Phillips Manor LLC | Skilled Nursing Facility | 28 Linwood Rd, Lynn, MA 01905-1638 | 2017-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437783560 | Annie Marie Helmkamp | Nurse Practitioner | Ati Worksite Solutions, Ge Aviation, 1000 Western Avenue, Lynn, MA 01905 | 2020-02-27 |
| 1215419395 | Bridget Depoy | Social Worker | Fallon School, 100 Robinson St., Lynn, MA 01905 | 2018-09-05 |
| 1093294845 | Tina Hoofnagle | Social Worker | 100 Bennett Street, Lynn, MA 01905 | 2018-08-13 |
| 1740768704 | Tamba-kromah Ventures LLC | Non-emergency Medical Transport (VAN) | 29 Dungeon Ave, Lynn, MA 01905 | 2018-08-01 |
| 1275068637 | Gina Hart | Counselor | 29 Pennybrook Rd, Lynn, MA 01905 | 2017-04-24 |
| 1235593773 | Daniel Burke | Physician Assistant | 1000 Western Ave Bldg 44, Lynn, MA 01905 | 2016-04-11 |
| 1366825374 | Humble Care Givers | Technician | 15 River Street Place, Lynn, MA 01905 | 2015-07-08 |
| 1861815649 | Krystle Lee Concepcion | Occupational Therapist | 9 Needhams Landing Road Apt. 401, Lynn, MA 01905 | 2014-01-29 |
| 1134497423 | Rachel Tami Davis | Social Worker | 800 Cummings Ctr Suite 266 T, Beverly, MA 01905 | 2011-12-01 |
| 1043534316 | Eh Moo Htoo | Counselor | 447 Summer St, Apt 1, Lynn, MA 01905 | 2010-03-16 |
| Find all providers in zip 01905 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1245217025 | Alliance Health of Lynn, Inc. | Skilled Nursing Facility | 28 Essex St, Lynn, MA 01902 | 2005-12-22 |
| 1679560098 | Lawrence Manor LLC | Skilled Nursing Facility | 26 Henry Ave, Lynn, MA 01902-4008 | 2005-09-30 |
| 1346249075 | 70 Granite Street Operating Company, LLC | Skilled Nursing Facility | 70 Granite St, Lynn, MA 01904-2915 | 2005-07-15 |
| 1225036080 | Lynn Medical Investors Ltd Ptr | Skilled Nursing Facility | 111 Birch St, Lynn, MA 01902-1574 | 2005-07-14 |
| 1972029098 | Phillips Manor LLC | Skilled Nursing Facility | 28 Linwood Rd, Lynn, MA 01905-1638 | 2017-08-21 |
| 1669468799 | Sachem Associates, Inc. | Skilled Nursing Facility | 66 Johnson St, 66 Johnson St, Lynn, MA 01902-4141 | 2005-09-23 |
| 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 |
| 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 |
| 1144679564 | Milton Hc Operating LLC | Skilled Nursing Facility | 1200 Brush Hill Road, Milton, MA 02186 | 2016-06-07 |
| 1568817369 | Kelly Moore | Skilled Nursing Facility | 29 Nonotuck Rd, West Springfield, MA 01089-1616 | 2016-04-28 |
| Find all providers with the same taxonomy | ||||
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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.