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Organization Active NPI

Lifespan of Massachusetts - Fall River Inc

  • Psychiatric Hospital Unit
  • Fall River, MA
National Provider Identifier
1013744200
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
Legal business name
LIFESPAN OF MASSACHUSETTS - FALL RIVER INC
Practice address
795 Middle St
Fall River, MA 02721-1733
Phone
(508) 674-5600
Fax
(617) 562-7241
NPI assigned
Sep 19, 2024
Last updated
Mar 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Authorized official

Name
Eva Greenwood
Title
SVP, Finance
Phone
(401) 444-7284

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X
Psychiatric Hospital Unit 273R00000X Primary
General Acute Care Hospital 282N00000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

795 Middle St
Fall River, MA 02721-1733

Mailing address

15 La Salle SQ
Providence, RI 02903-1814
Phone (401) 444-6779

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20241029003259 MA Part A Provider - Hospital 7214460278 Practice locations: Fall River, MA
O20250325001604 MA Part B Supplier - Hospital Department(S) 7214460278 Receives reassigned benefits from 9 practitioners
Practice locations: Fall River, MA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013744200. Details of each certification follow.

Hospital certification: CCN 22S020

Legal name
LIFESPAN OF MASSACHUSETTS - FALL RIVER INC
Doing business as
BROWN UNIVERSITY HEALTH SAINT ANNE'S HOSPITAL
Organization structure
CorporationNon-profit
Incorporated
Oct 1, 2024 in MA
Enrollment address
795 Middle St
Fall River, MA 27211733
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Lifespan of Massachusetts -2 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.

Locations

535 Faunce Corner Rd
Fl 1
North Dartmouth, MA 02747
Phone (508) 961-0998

535 Faunce Corner Rd
Fl 2
North Dartmouth, MA 02747
Phone (508) 961-0998

537 Faunce Corner Rd
Fl 1
North Dartmouth, MA 02747
Phone (508) 689-3100

537 Faunce Corner Rd
Fl 2
North Dartmouth, MA 02747
Phone (401) 305-5088

440 Swansea Mall Dr
#2
Swansea, MA 02777
Phone (508) 324-1171

Ownership & related parties

All disclosed owners & managing parties 21

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Eric Dyl Individual W-2 Managing Employee Jul 15, 2016
Jeff W Greenberg Individual Corporate Director Dec 9, 2025
Paula McNamara Individual Corporate Director Sep 9, 2024
Christine Rawnsley Individual W-2 Managing EmployeeVice President, Revenue Cycle Sep 9, 2024
Bernard Buonanno Individual Corporate Director Sep 9, 2024
Janet Robinson Individual Corporate Director Sep 9, 2024
Angel Taveras Individual Corporate Director Sep 9, 2024
Alan H Litwin Individual Corporate Director Sep 9, 2024
Angela M Caliendo Individual Corporate Director Dec 31, 2025
Lifespan of Massachusetts, Inc. Organization, Providence, RI Corporation, Non-profit 5% Or Greater Direct Ownership Interest Sep 27, 1997 100%
Robert Dimuccio Individual Corporate Director Dec 9, 2025
Shivan Subramaniam Individual Corporate Director Sep 9, 2024
Julie Abilheira Individual W-2 Managing EmployeeAd; Jun 24, 2026
Eva Greenwood Individual Corporate OfficerSenior Vice President, Finance Sep 9, 2024
Corporate DirectorSenior Vice President, Finance Sep 9, 2024
W-2 Managing EmployeeSenior Vice President, Finance Sep 9, 2024
Martha Mainiero Individual Corporate Director Sep 9, 2024
Samuel Mencoff Individual Corporate Director Sep 9, 2024
John R Fernandez Individual W-2 Managing EmployeePresident and Ceo, Lifespan Sep 9, 2024
Michael L Hanna Individual Corporate Director Sep 9, 2024
Emanuel Barrows Individual Corporate Director Sep 9, 2024
Peter K Markell Individual Corporate OfficerEvp and Cfo Sep 9, 2024
W-2 Managing EmployeeEvp and Cfo Sep 9, 2024
Christian Cocks Individual Corporate Director Sep 9, 2024

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 42

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1726704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772755200000",
    "number": "1013744200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 LA SALLE SQ",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029031814",
            "telephone_number": "401-444-6779",
            "fax_number": "401-444-6912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 MIDDLE ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027211733",
            "telephone_number": "508-674-5600",
            "fax_number": "617-562-7241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESPAN OF MASSACHUSETTS - FALL RIVER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-19",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A",
        "authorized_official_last_name": "GREENWOOD",
        "authorized_official_first_name": "EVA",
        "authorized_official_title_or_position": "SVP, FINANCE",
        "authorized_official_telephone_number": "401-444-7284"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.