Jewish Nursing Home of Western Mass., Inc.

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

0722 Issued in MA

Legal business name

JEWISH NURSING HOME OF WESTERN MASS., INC.

Doing business as

Wernick Adult Day Health Care Center

Practice address

770 Converse St
Longmeadow, MA 01106-1719

Phone

(413) 567-3949

Fax

(413) 567-0175

NPI assigned

Sep 8, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Thomas E. Dybick

Title

Chief Financial Officer

Phone

(413) 567-3949

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Wernick Adult Day Health Care Center Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Jewish Nursing Home of Western Mass2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Jewish Nursing Home of Western Mass., Inc.

  • Skilled Nursing Facility
  • Longmeadow, MA
  • NPI 1619086881
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003910357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 CONVERSE ST",
            "city": "LONGMEADOW",
            "state": "MA",
            "postal_code": "011061719",
            "telephone_number": "413-567-3949",
            "fax_number": "413-567-0175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 CONVERSE ST",
            "city": "LONGMEADOW",
            "state": "MA",
            "postal_code": "011061719",
            "telephone_number": "413-567-3949",
            "fax_number": "413-567-0175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEWISH NURSING HOME OF WESTERN MASS., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DYBICK",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "413-567-3949",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MA",
            "license": "0722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1905635",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wernick Adult Day Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James M Freeman, M.D.
• Nicholas John Jasiel
• Georges Jawhar
• Tisha Jean, PA-C
• Pamela Jenner Jeppson, PA-C
• Jewish Nursing Home of Western Mass., Inc.
• JGS Administrative Services Incorporation (JGS Family Medical Care)
• JGS Housing Services, Inc. (Ruth's House Assisted Living)
• Dirk A Johns, FNP
• Grace Caroline Johnson

• Adult Day Care Clinic/Center in Longmeadow, MA
• Providers in Longmeadow, MA by specialty
• Adult Day Care Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.