Hathorne SNF Operations LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

HATHORNE SNF OPERATIONS LLC

Practice address

15 Kirkbride Dr
Danvers, MA 01923-6011

Phone

(978) 716-3600

NPI assigned

Jun 24, 2024

Last updated

Jun 24, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Levy

Title

Owner

Phone

(732) 678-4524

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1023852167. Details of each certification follow.

• CCN 225449A Skilled nursing facility · Details

Skilled nursing facility certification: CCN 225449A

Legal name

HATHORNE SNF OPERATIONS LLC

Doing business as

HATHORNE HILL REHABILITATION AND HEALTHCARE CENTER

Organization structure

LLCProprietary

Enrollment address

15 Kirkbride Dr
Danvers, MA 01923-6011

Nursing home name

HATHORNE HILL REHABILITATION AND HEALTHCARE CENTER

Affiliated entity

ATLAS HEALTHCARE

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

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 11

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

Owners & managing parties with NPI records 1

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

• Amanda Rita Hernandez, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Boston, MA
  • NPI 1891062691

  Contracted Managing Employee

  CMS ownership

Facilities with the same owner 18

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

• Framingham SNF Operations LLC

  dba Oak Knoll Rehabilitation and Healthcare Center

  • Skilled Nursing Facility
  • Framingham, MA
  • NPI 1912702457

  JMH Family LLC, JMH Family Trust, MLS Family LLC, MLS Family Trust, SGS Family LLC, SGS Family Trust

  CMS ownership
• Haverhill SNF Operations LLC

  dba Haverhill Rehabilitation and Healthcare Center

  • Skilled Nursing Facility
  • Haverhill, MA
  • NPI 1497550925

  JMH Family LLC, JMH Family Trust, MLS Family LLC, MLS Family Trust, SGS Family LLC, SGS Family Trust

  CMS ownership
• Marion SNF Operations LLC

  dba Sippican Rehabilitation and Healthcare Center

  • Skilled Nursing Facility
  • Marion, MA
  • NPI 1346045887

  JMH Family LLC, MLS Family LLC, MLS Family Trust, SGS Family LLC, SGS Family Trust

  CMS ownership
• Middleborough SNF Operations LLC

  dba Nemasket Rehabilitation and Healthcare Center

  • Skilled Nursing Facility
  • Middleboro, MA
  • NPI 1659176188

  JMH Family LLC, JMH Family Trust, MLS Family LLC, MLS Family Trust, SGS Family LLC, SGS Family Trust

  CMS ownership
• Newburyport SNF Operations LLC

  dba Port Rehabilitation and Healthcare Center

  • Skilled Nursing Facility
  • Newburyport, MA
  • NPI 1700681244

  JMH Family LLC, JMH Family Trust, MLS Family LLC, MLS Family Trust, SGS Family LLC, SGS Family Trust

  CMS ownership
• Shrewsbury SNF Operations LLC

  • Skilled Nursing Facility
  • Shrewsbury, MA
  • NPI 1619734456

  JMH Family LLC, JMH Family Trust, MLS Family LLC, MLS Family Trust, SGS Family LLC, SGS Family Trust

  CMS ownership
• Topsfield SNF Operations LLC

  dba Masconomet Rehabilitation and Healthcare Center

  • Skilled Nursing Facility
  • Topsfield, MA
  • NPI 1831994367

  JMH Family LLC, JMH Family Trust, MLS Family LLC, MLS Family Trust, SGS Family LLC, SGS Family Trust

  CMS ownership
• Bride Brook SNF Operations LLC

  • Skilled Nursing Facility
  • Niantic, CT
  • NPI 1477273738

  JMH Family LLC, JMH Family Trust, MLS Family LLC, MLS Family Trust, SGS Family LLC, SGS Family Trust

  CMS ownership
• Manchester Manor SNF Operations LLC

  • Skilled Nursing Facility
  • Manchester, CT
  • NPI 1437883675

  JMH Family LLC, JMH Family Trust, MLS Family LLC, MLS Family Trust, SGS Family LLC, SGS Family Trust

  CMS ownership
• Matawan SNF Operations LLC

  • Skilled Nursing Facility
  • Matawan, NJ
  • NPI 1548971765

  JMH Family LLC, JMH Family Trust, MLS Family LLC, MLS Family Trust, SGS Family LLC, SGS Family Trust

  CMS ownership
• Pendleton SNF Operations LLC

  • Skilled Nursing Facility
  • Mystic, CT
  • NPI 1487374740

  JMH Family LLC, JMH Family Trust, MLS Family LLC, MLS Family Trust, SGS Family LLC, SGS Family Trust

  CMS ownership
• Roland Park SNF Operations LLC

  • Skilled Nursing Facility
  • Baltimore, MD
  • NPI 1649059973

  JMH Family LLC, JMH Family Trust, MLS Family LLC, MLS Family Trust, SGS Family LLC, SGS Family Trust

  CMS ownership

Practitioners 2

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.

• Sideris David Baer, M.D.

  • Internal Medicine Physician
  • Ipswich, MA
  • NPI 1942249370
  NPD (past)
• Hans C Jeppesen, M.D.

  • Internal Medicine Physician
  • Salem, MA
  • NPI 1669678298
  NPD (past)

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1023852167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 KIRKBRIDE DR",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019236011",
            "telephone_number": "978-716-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 KIRKBRIDE DR",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019236011",
            "telephone_number": "978-716-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HATHORNE SNF OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A",
        "authorized_official_last_name": "LEVY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-678-4524"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Haskins
• Katharine Hatfield
• Sarah Hatfield
• Casey Hathaway-Piccole
• Hathorne Family Dental
• Joyce Roper Haydock, COTA
• Jennifer Rose Hayes
• Yuchen He
• Luztalisha Heap
• Daymarelys Hechavarria

• Skilled Nursing Facility in Danvers, MA
• Providers in Danvers, MA by specialty
• Skilled Nursing Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.