NPIMap

Organization Active NPI

Webster Ma SNF LLC

Doing business as Webster Manor Rehabilitation & Health Care Center

  • Skilled Nursing Facility
  • Webster, MA
National Provider Identifier
1063823748
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0850 Issued in MA
Legal business name
WEBSTER MA SNF LLC
Doing business as
Webster Manor Rehabilitation & Health Care Center
Practice address
745 School St
Webster, MA 01570-2924
Phone
(508) 949-0644
Fax
(508) 949-0647
NPI assigned
May 15, 2014
Last updated
Feb 16, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
ATHENA HEALTH CARE ASSOCIATES INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Authorized official

Name
Lawrence G. Santilli
Title
Manager
Phone
(860) 751-3900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0850 MA Primary

Addresses

Primary practice location

745 School St
Webster, MA 01570-2924

Mailing address

745 School St
Webster, MA 01570-2924
Phone (508) 949-0644

Other identifiers 1

IdentifierTypeStateIssuer
110100224AMedicaidMA

Other names 1

  • Webster Manor Rehabilitation & Health Care Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140418000633 MA Part A Provider - Skilled Nursing Facility 7113159435 Practice locations: Webster, MA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1063823748. Details of each certification follow.

Skilled nursing facility certification: CCN 225283

Legal name
WEBSTER MA SNF LLC
Doing business as
WEBSTER MANOR REHABILITATION & HEALTH CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 1, 1985
Last certification
Apr 10, 2025
Beds
135
Ownership / control type
Corporation
Multi-facility organization
Tide Health New England
Most recent change of ownership
Jul 1, 2014
Organization structure
LLCProprietary
Incorporated
Oct 10, 2013 in MA
Enrollment address
745 School St
Webster, MA 01570-2924
Nursing home name
WEBSTER MANOR REHABILITATION & HEALTH CARE CENTER
Affiliated entity
ATHENA HEALTHCARE SYSTEMS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Webster Manor Rehabilitation & Health Care CenterCCN 225283 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jul 1, 1985
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
135121.9 residents per day on average
Chain
Athena Healthcare Systems22 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Webster Ma SNF LLC2 organizations share this tax ID, including this one
Part of
Athena Health Care Associates Inc

Other organizations with this tax ID 1

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

Ownership & related parties

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.

NameRoleSinceShare
Priscilla Senra Individual W-2 Managing EmployeeManaging Director Ambassador Prog Dec 15, 2020 4%
Lawrence E Santilli Individual 5% Or Greater Indirect Ownership Interest Jul 1, 2015 12%
Michael E Mosier Individual 5% Or Greater Indirect Ownership Interest Nov 18, 2016 6.66%
W-2 Managing EmployeeDelegated Official Jun 1, 2014
Athena Health Care Systems Ma III LLC Organization, Farmington, CT LLC, For-profit 5% Or Greater Direct Ownership Interest Jun 1, 2014 100%
Athena Health Care Associates, Inc. Organization, Farmington, CT Corporation, Management services company Operational/Managerial Control Jun 1, 2014
Danielle Kaufman Individual W-2 Managing EmployeeDirector of Finance Jul 1, 2018 2.67%
Lorrie Rezendes Individual W-2 Managing EmployeeDirector of Operations HH&Hospice Oct 11, 2013 2%
Valerie Chakalos-Santilli Individual 5% Or Greater Indirect Ownership Interest Jul 1, 2015 6%
Lawrence G Santilli Individual 5% Or Greater Indirect Ownership Interest Dec 15, 2020 61.67%
Corporate OfficerChief Executive Officer Oct 11, 2013 61.67%
Diane Curtis Individual W-2 Managing EmployeeDirector of Financial Operations Jun 1, 2014 3%
Carly Whitcraft Individual W-2 Managing EmployeeDirector of Clinical Reimbursement May 1, 2019 2%

Facilities with the same owner 25

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

View all 25

Practitioners & affiliated clinicians

Practitioners 3

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 2

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": "1400112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676505600000",
    "number": "1063823748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 SCHOOL ST",
            "city": "WEBSTER",
            "state": "MA",
            "postal_code": "015702924",
            "telephone_number": "508-949-0644",
            "fax_number": "508-949-0647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 SCHOOL ST",
            "city": "WEBSTER",
            "state": "MA",
            "postal_code": "015702924",
            "telephone_number": "508-949-0644",
            "fax_number": "508-949-0647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEBSTER MA SNF LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ATHENA HEALTH CARE ASSOCIATES INC.",
        "enumeration_date": "2014-05-15",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A",
        "authorized_official_last_name": "SANTILLI",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "860-751-3900"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "0850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110100224A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Webster Manor Rehabilitation & Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Webster Manor Rehabilitation & Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Webster, MA

Sources for this page

Verify at the official NPI Registry.