SRC WESTON, LLC (NPI# 1962867036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962867036 |
| Entity Type | Organization |
| Organization Name | SRC WESTON, LLC |
| Practice Address |
75 Norumbega Rd Weston MA 02493-2431 |
| Mailing Address |
63 Kendrick St Needham MA 02494-2708 |
| Practice Telephone | 7818916100 |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2015-12-16 |
| Authorized Official Name | TAMILYN LEVIN (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 7817079510 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992179667 | Src Weston, LLC | Assisted Living Facility | 75 Norumbega Rd, Weston, MA 02493-2431 | 2015-11-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | SRC WESTON, LLC | 63 Kendrick Street, Needham, MA 02494 |
| Street Address |
75 NORUMBEGA RD |
| City | WESTON |
| State | MA |
| Zip Code | 02493-2431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972714475 | Epoch Senior Health Care of Weston | Social Worker | 75 Norumbega Rd, Weston, MA 02493-2431 | 2007-05-25 |
| 1104458850 | Almamy Jalloh | Physical Therapist | 75 Norumbega Rd, Weston, MA 02493-2431 | 2020-02-11 |
| 1255977229 | Weston Ma Snf Management, LLC | Skilled Nursing Facility | 75 Norumbega Rd, Weston, MA 02493-2431 | 2019-11-25 |
| 1003264128 | Margaret Gibbons | Occupational Therapist | 75 Norumbega Rd, Weston, MA 02493-2431 | 2016-05-31 |
| 1275981359 | Martha Skuby | Speech-Language Pathologist | 75 Norumbega Rd, Weston, MA 02493-2431 | 2016-05-30 |
| 1992179667 | Src Weston, LLC | Assisted Living Facility | 75 Norumbega Rd, Weston, MA 02493-2431 | 2015-11-18 |
| 1164602843 | Epoch Senior Healthcare of Weston, LLC | Skilled Nursing Facility | 75 Norumbega Rd, Weston, MA 02493-2431 | 2007-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194290247 | Ann Fry | Social Worker | The Gifford School, 177 Boston Post Road, Weston, MA 02493 | 2018-10-04 |
| 1710467998 | Jill Suzanne Blaszkowsky | Social Worker | Campion Center, 319 Concord Road, Weston, MA 02493 | 2018-08-17 |
| 1336633353 | Kari Anne Wye | Counselor | 456 Wellesley St, Weston, MA 02493 | 2018-06-22 |
| 1780991257 | Kate F Tye | Internal Medicine | 56 Colpitts Road, Weston, MA 02493 | 2010-09-07 |
| 1245544840 | Edward C. Michaud, D.d.s. | Dentist | 512 Boston Post Road, Weston, MA 02493 | 2010-08-06 |
| 1346478815 | M. Susan Roberts | Psychologist | 269 Conant Road, Weston, MA 02493 | 2009-06-23 |
| 1205027307 | Mary R England | Psychiatry & Neurology | 235 Wellesley Street, Regis College, Weston, MA 02493 | 2007-08-05 |
| 1811030216 | Julie Lemaire Rein | Internal Medicine | Newton-wellesely Primary Care, 45 Colpitts Road, Weston, MA 02493 | 2007-02-15 |
| 1689743403 | Laura Ann Aiello | Psychologist | 20 Bullard Rd, Weston, MA 02493 | 2006-11-07 |
| 1649363292 | Brian Dewayne Lightsey | Social Worker | 104 Boston Post Rd, Suite #3, Weston, MA 02493 | 2006-10-02 |
| Find all providers in zip 02493 | ||||
| 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 |
|---|---|---|---|---|
| 1881103315 | Geriatric Care Specialists Inc | Skilled Nursing Facility | 3156 Inverness, Weston, FL 33332-1816 | 2017-09-27 |
| 1306281258 | Fpg & Lcd LLC | Skilled Nursing Facility | 7805 Birch St, Weston, WI 54476-5219 | 2013-05-06 |
| 1508031311 | Peoplefirst Rehab | Skilled Nursing Facility | 5812 Decker St, Weston, WI 54476-3331 | 2008-04-23 |
| 1639343072 | Peoplefirst | Skilled Nursing Facility | 1700 Daley Ave, Weston, WI 54476-3827 | 2008-04-16 |
| 1073526372 | Campion Health & Wellness, Inc. | Skilled Nursing Facility | 319 Concord Road, Weston, MA 02493-1398 | 2006-08-15 |
| 1659307999 | Jacs Ops IIi Inc | Skilled Nursing Facility | 75 Norumbega Road, Weston, MA 02493 | 2006-06-25 |
| 1255977229 | Weston Ma Snf Management, LLC | Skilled Nursing Facility | 75 Norumbega Rd, Weston, MA 02493-2431 | 2019-11-25 |
| 1841438132 | Tdr, Inc. | Skilled Nursing Facility | 4605 Valdres Springs Court, Weston, WI 54476-4178 | 2009-01-26 |
| 1164602843 | Epoch Senior Healthcare of Weston, LLC | Skilled Nursing Facility | 75 Norumbega Rd, Weston, MA 02493-2431 | 2007-11-09 |
| 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 |
| 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 |
| 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.