NPIMap

Organization Active NPI

Stoneham Operations, LLC

Doing business as Life Care Center of Stoneham

  • Skilled Nursing Facility
  • Stoneham, MA
National Provider Identifier
1013978444
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
4240 Issued in MA
Legal business name
STONEHAM OPERATIONS, LLC
Doing business as
Life Care Center of Stoneham
Practice address
25 Woodland Rd
Stoneham, MA 02180-1705
Phone
(781) 662-2545
Fax
(781) 662-7775
NPI assigned
Mar 28, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Authorized official

Name
Cindy S Cross
Title
Assistant Secretary
Phone
(423) 473-5867

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 4240 MA Primary

Addresses

Primary practice location

25 Woodland Rd
Stoneham, MA 02180-1705

Mailing address

3001 Keith St NW
Cleveland, TN 37312-3713
Phone (423) 473-5751

Other identifiers 1

IdentifierTypeStateIssuer
0923885MedicaidMA

Other names 1

  • Life Care Center of Stoneham Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040629000607 MA Part A Provider - Skilled Nursing Facility 2062498090 Practice locations: Stoneham, MA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013978444. Details of each certification follow.

Skilled nursing facility certification: CCN 225732

Legal name
STONEHAM OPERATIONS LLC
Doing business as
LIFE CARE CENTER OF STONEHAM
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 12, 1997
Last certification
Sep 19, 2024
Beds
94
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Life care Centers of America
Organization structure
LLCProprietary
Enrollment address
25 Woodland Rd
Stoneham, MA 02180-1705
Nursing home name
LIFE CARE CENTER OF STONEHAM
Affiliated entity
LIFE CARE CENTERS OF AMERICA

Care Compare: Nursing home

Medicare Care Compare
Listed as
Life Care Center of StonehamCCN 225732 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Aug 12, 1997
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9478.8 residents per day on average
Chain
Life Care Centers of America194 facilities in the chain
Penalties (3 years)
2Fines totaling $39,559

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D0930267Life Care Center of Stoneham25 Woodland Road, Stoneham, MA 02180Certificate of waiverJul 1, 2027

National Provider Directory

National Provider Directory

Locations

25 Woodland Rd
Stoneham, MA 02180
Phone (781) 438-7775

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Forrest L Preston Individual 5% Or Greater Direct Ownership InterestMember Aug 28, 1987 99%
Adp of the SNF Aug 31, 2000
Indirect Ownership Interest Aug 28, 1987 1%
Terry Henry Individual Corporate OfficerAssistant Treasurer of MGMT. Co. Aug 16, 1999
Stoneham Operations LLC Organization, Cleveland, TN LLC, For-profit Operational/Managerial Control Jul 21, 1997
Adp of the SNF Aug 31, 2000
Dennis Nguyen Individual Operational/Managerial Control Dec 21, 2024
Managing Control - Governing BodyAdministrator Dec 21, 2024
Adp of the SNF Mar 18, 2025
Todd Fletcher Individual Operational/Managerial Control Dec 13, 2024
Maya Berdzenishvili Individual Operational/Managerial Control Feb 1, 2024
Adp of the SNF Mar 18, 2025
Developers Investment Company Inc Organization, Cleveland, TN Corporation, For-profit Operational/Managerial Control Jan 28, 2020
Direct Ownership Interest Aug 28, 1987 1%
Aubrey Preston Individual Operational/Managerial Control Dec 13, 2024
Organization, Cleveland, TN LLC, For-profit Adp of the SNF Aug 31, 2000
Joan E Thurmond Individual Corporate OfficerAssist. Secretary of MGMT. Co. Sep 22, 2000
Kimberly Cote Individual Operational/Managerial Control Sep 6, 2023
Managing Control - Governing BodyDirector of Nursing Sep 6, 2023
Cindy S Cross Individual Corporate OfficerVP / Assist Secretary of MGMT. Co. Mar 25, 1996
Richard Swanker Individual Corporate OfficerChief Tax Officer of MGMT. Co. Apr 1, 2011
Corporate DirectorDirector of MGMT. Co. Jan 1, 2022
Life Care Centers of America, Inc. Organization, Cleveland, TN Corporation, Management services company, For-profit, Chain home office Operational/Managerial Control Mar 25, 1996 100%
Adp of the SNF Mar 25, 1996
Zofia M. Long Individual Operational/Managerial Control Mar 15, 2004
Managing Control - Governing BodyDivision Vice President Mar 15, 2004
Lisa M Lay Individual Corporate OfficerSecretary of MGMT. Co. Feb 9, 2018
Corporate DirectorDirector of MGMT. Co. Apr 24, 2017
James Ziegler Individual Operational/Managerial Control Dec 13, 2024

Owners & managing parties with NPI records 26

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

View all 26

Facilities with the same owner 193

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

View all 193

Practitioners & affiliated clinicians

Practitioners 1

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.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783900800000",
    "number": "1013978444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 KEITH ST NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373123713",
            "telephone_number": "423-473-5751",
            "fax_number": "423-339-8342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 WOODLAND RD",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021801705",
            "telephone_number": "781-662-2545",
            "fax_number": "781-662-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONEHAM OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-28",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A",
        "authorized_official_last_name": "CROSS",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "423-473-5867"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "4240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0923885",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "284 Merchant St",
            "city": "Ste Genevieve",
            "state": "MO",
            "country_code": "US",
            "postal_code": "636701610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Life Care Center of Stoneham",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Life Care Center of Stoneham",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stoneham, MA

Sources for this page

Verify at the official NPI Registry.