Lifespan of Massachusetts - Fall River Inc
Organization Active NPI Psychiatric Hospital Unit · Fall River, MA
NPI 1013744200 · NPPES record last updated Mar 6, 2026
Key facts
- NPI
- 1013744200
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric Hospital Unit 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
- Organization subpart
- No
Authorized official
- Name
- Eva Greenwood
- Title
- SVP, Finance
- Phone
- (401) 444-7284
Owners & managing parties with NPI records 2
-
Angela A Caliendo, M.D., PH.D.
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 1
Related certifications (CCN) 1
Facilities with the same owner 3
Practitioners 44
-
Gyorgy Bodrog, M.D.
-
Danuta M Fichna, MD
-
Carla-Marie Niro, MSN, PMHNP-BC
-
L. Russell Pet, M.D.
-
Jack Howard Belkin, M.D.
-
Jeanne Marguerite Paccia, PH.D.
-
Daniela Melissa Vasquez, LICSW
-
Christine B Boyer, PA-C
-
Emily Autumn Cambrola, PA-C
-
Danielle Leigh Capece, PA-C
-
Ravi Chander, M.D.
-
Nathaniel Michael Cook, M.D.
-
Richard Stuart Fox Jr., P.A.
-
Richard Stuart Fox, M.D.
-
Zia Kidwai, M.D.
-
Krzysztof K Kundo, M.D.
-
Bassem Nasser, M.D.
-
J. Bruno Pestana, M.D.
-
Jesus Sosa, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MA
Hospital certification: CCN 22S020
- Legal name
- LIFESPAN OF MASSACHUSETTS - FALL RIVER INC
- Doing business as
- BROWN UNIVERSITY HEALTH SAINT ANNE'S HOSPITAL
- Organization structure
- Corporation · Non-profit
- Incorporated
- Oct 1, 2024 in MA
- Enrollment address
- 795 Middle St
Fall River, MA 27211733 - Hospital subgroups
- Psychiatric unit
All disclosed owners & managing parties 21
| Name | Role | Since | Share |
|---|---|---|---|
| Eric Dyl |
W-2 Managing Employee | Jul 15, 2016 | |
| Jeff W Greenberg |
Corporate Director | Dec 9, 2025 | |
| Paula McNamara |
Corporate Director | Sep 9, 2024 | |
| Christine Rawnsley |
W-2 Managing Employee |
Sep 9, 2024 | |
| Bernard Buonanno |
Corporate Director | Sep 9, 2024 | |
| Janet Robinson |
Corporate Director | Sep 9, 2024 | |
| Angel Taveras |
Corporate Director | Sep 9, 2024 | |
| Alan H Litwin |
Corporate Director | Sep 9, 2024 | |
| Angela M Caliendo |
Corporate Director | Dec 31, 2025 | |
| Lifespan of Massachusetts, Inc. |
5% Or Greater Direct Ownership Interest | Sep 27, 1997 | 100% |
| Robert Dimuccio |
Corporate Director | Dec 9, 2025 | |
| Shivan Subramaniam |
Corporate Director | Sep 9, 2024 | |
| Julie Abilheira |
W-2 Managing Employee |
Jun 24, 2026 | |
| Eva Greenwood |
Corporate Officer |
Sep 9, 2024 | |
| Corporate Director |
Sep 9, 2024 | ||
| W-2 Managing Employee |
Sep 9, 2024 | ||
| Martha Mainiero |
Corporate Director | Sep 9, 2024 | |
| Samuel Mencoff |
Corporate Director | Sep 9, 2024 | |
| John R Fernandez |
W-2 Managing Employee |
Sep 9, 2024 | |
| Michael L Hanna |
Corporate Director | Sep 9, 2024 | |
| Emanuel Barrows |
Corporate Director | Sep 9, 2024 | |
| Peter K Markell |
Corporate Officer |
Sep 9, 2024 | |
| W-2 Managing Employee |
Sep 9, 2024 | ||
| Christian Cocks |
Corporate Director | Sep 9, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Tax ID family
- Lifespan of Massachusetts -
Locations
70 Walnut St
Ste 102
Foxboro, MA 02035
Phone (508) 698-3250
537 Faunce Corner Rd
Fl 2
North Dartmouth, MA 02747
Phone (401) 305-5088
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
440 Swansea Mall Dr
#2
Swansea, MA 02777
Phone (508) 324-1171
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist |
103T00000X | |||
| Clinical Social Worker |
1041C0700X | |||
| Psychiatry Physician |
2084P0800X | |||
| Psychiatric Hospital Unit | 273R00000X | Yes | ||
| General Acute Care Hospital | 282N00000X | |||
| Psychiatric/Mental Health Nurse Practitioner |
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
Other providers in Fall River, MA
- Rebecca Lewin
- Camryn Janae Lewis
- James M Lewis
- Debra Lezama
- Najlah Lezin
- Lifespan of Massachusetts - Fall River Inc
- Lifestream, Inc
- Lifting Spirits - Healing Minds, LLC
- Jeffrey P Lima
- Karen Lima
All providers in Fall River, MA · Psychiatric Hospital Unit in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 6, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.