MASONIC HOME INC. (NPI# 1982784930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982784930 |
| Entity Type | Organization |
| Organization Name | MASONIC HOME INC. |
| Practice Address |
88 Masonic Home Rd Charlton MA 01507 |
| Practice Telephone | 5082487344 |
| Practice Fax Number | 5082487989 |
| Mailing Telephone | 5082487344 |
| Mailing Fax Number | 5082487989 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. CATHLEEN DENNISON (FINANCE DEPT SUPERVISOR) |
| Authorized Official Telephone | 5084342231 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 0749 | MA | Nursing & Custodial Care Facilities |
| Street Address |
88 MASONIC HOME RD |
| City | CHARLTON |
| State | MA |
| Zip Code | 01507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184613275 | Overlook Masonic Health Center Inc | Non-emergency Medical Transport (VAN) | 88 Masonic Home Rd, Charlton, MA 01507-1394 | 2005-10-20 |
| 1861091043 | Nicole Marie Marchand | Nurse Practitioner | 88 Masonic Home Rd, Charlton, MA 01507-1394 | 2020-10-20 |
| 1912401597 | Lori Fasano | Physical Therapist | 88 Masonic Home Rd, Charlton, MA 01507-1394 | 2018-03-20 |
| 1033657341 | Jennifer Marie Olsen Pratt | Physical Therapist | 88 Masonic Home Rd, Charlton, MA 01507-1394 | 2017-02-07 |
| 1942748256 | Mary Cierpich | Occupational Therapist | 88 Masonic Home Rd, Charlton, MA 01507-1394 | 2017-02-07 |
| 1710359583 | Starr Aldrich | Occupational Therapy Assistant | 88 Masonic Home Rd, Charlton, MA 01507-1394 | 2015-10-20 |
| 1467824235 | Jacquelyn M Kallio | Physical Therapy Assistant | 88 Masonic Home Rd, Charlton, MA 01507-1394 | 2015-10-20 |
| 1023424348 | Holly Mcclure | Nurse Practitioner | 88 Masonic Home Rd, Charlton, MA 01507-1394 | 2014-07-08 |
| 1417230301 | Emly Casey | Occupational Therapist | 88 Masonic Home Rd, Charlton, MA 01507-1394 | 2011-09-27 |
| 1356657563 | Kristin Anne Mattson | Physical Therapist | 88 Masonic Home Rd, Charlton, MA 01507-1394 | 2010-08-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477179653 | Lissette Hernandez | Counselor | 159 C Worcester Road, Charlton, MA 01507 | 2020-06-23 |
| 1841657426 | Renee M Gomez-chlebica Od LLC | Optometrist | 109-6 Masonic Home Rd., Charlton, MA 01507 | 2016-01-27 |
| 1467728725 | Rebecca Bullock | Occupational Therapist | 11 Sunset Drive, Charlton, MA 01507 | 2012-03-30 |
| 1326347139 | Michelle Beshire | Pharmacist | 188 Center Depot Rd, Charlton, MA 01507 | 2011-03-18 |
| 1063710762 | Daniel R Tetreault | Specialist/Technologist | 70 Hanson Road, Charlton, MA 01507 | 2011-03-03 |
| 1508901828 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 142 Worcester Rd, Charlton, MA 01507 | 2007-02-21 |
| 1780727743 | Peter Maly | Technician/Technologist | 109-6 Masonic Home Road, Charlton, MA 01507 | 2007-02-15 |
| 1083680128 | Mary-elise Smith | Emergency Medicine | 10 North Main Street, Charlton, MA 01507 | 2006-02-28 |
| 1932183241 | Steven V Vachula II | Optometrist | 20 Southbridge Rd, Charlton, MA 01507 | 2005-11-30 |
| 1154304228 | Teddi Bachawaty | Obstetrics & Gynecology | 9 Trolley Crossing Rd, Charlton, MA 01507 | 2005-11-22 |
| Find all providers in zip 01507 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932419777 | Charlton Manor Rest Home LLC | Nursing Facility/Intermediate Care Facility | 12 Town Farm Rd, Charlton, MA 01507-1556 | 2010-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053873547 | Awenasa Home Inc. | Nursing Facility/Intermediate Care Facility | 71 Union St., Willowbrook Manor Rest Home, Millis, MA 02054 | 2019-04-03 |
| 1932566056 | Medford Adhc | Nursing Facility/Intermediate Care Facility | 101 Mystic Ave, Medford, MA 02155-4628 | 2016-01-20 |
| 1104242692 | Annelise Pfeiffer | Nursing Facility/Intermediate Care Facility | 1 Sleepy Hollow Dr, Plymouth, MA 02360-3579 | 2014-03-09 |
| 1780005330 | Registered Nurse Agency | Nursing Facility/Intermediate Care Facility | 580 Shawmut Ave, Apt 1a, Boston, MA 02118-1775 | 2013-12-30 |
| 1689939464 | Continuum Healthcare Solutions, LLC | Nursing Facility/Intermediate Care Facility | 52 Olney Rd, Palmer, MA 01069-9876 | 2012-07-09 |
| 1104017292 | Burgoyne Rest Home Inc | Nursing Facility/Intermediate Care Facility | 53 Hartford St, Dorchester, MA 02125-2829 | 2007-08-05 |
| 1043401136 | Anns Rest Home Inc. | Nursing Facility/Intermediate Care Facility | 66 Bowdoin Ave, Dorchester, MA 02121-3902 | 2007-08-05 |
| 1518169697 | Evelyn Rose Browning | Nursing Facility/Intermediate Care Facility | 84 Market St, Northampton, MA 01060-3210 | 2007-06-01 |
| 1972714509 | Eve Gibson | Nursing Facility/Intermediate Care Facility | 43 Truby St, Granby, MA 01033-9539 | 2007-05-25 |
| 1982815502 | Linda O'donnell | Nursing Facility/Intermediate Care Facility | 112 Pittroff Ave, South Hadley, MA 01075-2238 | 2007-05-25 |
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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.