Seashore Pointe Rehab Center LLC
Organization Active NPI Skilled Nursing Facility · Provincetown, MA
NPI 1093365322 · NPPES record last updated Sep 18, 2019
Key facts
- NPI
- 1093365322
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- SEASHORE POINTE REHAB CENTER LLC
- Practice address
- Seashore Pointe Rehab Center LLC
100 Alden Street
Provincetown, MA 02657 - Phone
- (508) 487-0771
- NPI assigned
- Sep 18, 2019
- Organization subpart
- No
Authorized official
- Name
- Caterina Mina Labella
- Title
- Controller
- Phone
- (781) 255-0531
Owners & managing parties with NPI records 1
-
Julia Moore Carson, D.O.
Corporate family (same tax ID) 1
Facilities with the same owner 17
Practitioners 2
-
Julia Moore Carson, D.O.
-
Ramon Espinosa, M.D.
Affiliated clinicians 5
-
Jesse Affonso, M.D.
-
Ramon Espinosa, M.D.
-
Paul Frederick Fader, M.D.
-
William E Shay, MD
Medicare Care Compare: Nursing home
- Listed as
- Adviniacare at Provincetown
- Overall star rating
- ★☆☆☆☆ 1 of 5
- Health inspections
- ★☆☆☆☆ 1 of 5
- Staffing
- ★★☆☆☆ 2 of 5
- Quality measures
- ★★★☆☆ 3 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jul 1, 1994
- Medicare certification status
- Active
- Certified beds
- 41 · 33.9 residents per day on average
- Chain
- Adviniacare
- Penalties (3 years)
- 1 · fines totaling $11,782
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Skilled nursing facility certification: CCN 225637
- Legal name
- SEASHORE POINTE REHAB CENTER LLC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jul 1, 1994
- Last certification
- Mar 6, 2025
- Beds
- 41
- Ownership / control type
- Corporation
- Multi-facility organization
- AdviniaCare
- Most recent change of ownership
- Nov 1, 2019
- Organization structure
- LLC · Proprietary
- Incorporated
- Aug 9, 2019 in MA
- Enrollment address
- 100 Alden St
Provincetown, MA 02657-1456 - Nursing home name
- ADVINIACARE AT PROVINCETOWN
- Affiliated entity
- ADVINIACARE
All disclosed owners & managing parties 15
| Name | Role | Since | Share |
|---|---|---|---|
| Jennifer Spector |
Operational/Managerial Control | Aug 9, 2019 | |
| Adp of the SNF | Aug 9, 2019 | ||
| Yosef Meystel |
5% Or Greater Indirect Ownership Interest | Nov 1, 2019 | 32% |
| Julia M Carson |
Operational/Managerial Control | Aug 9, 2019 | |
| Adp of the SNF | Aug 9, 2019 | ||
| Pointe Group Care LLC |
Operational/Managerial Control | Aug 9, 2019 | |
| Adp of the SNF | Apr 21, 2025 | ||
| David a. Berkowitz Revocable Trust |
5% Or Greater Direct Ownership Interest | Aug 9, 2019 | 32% |
| Caterina M Labella |
Corporate Officer |
Aug 9, 2019 | 100% |
| Operational/Managerial Control | Aug 9, 2019 | ||
| Adp of the SNF | Aug 9, 2019 | ||
| Benjamin Berkowitz |
5% Or Greater Direct Ownership Interest |
Aug 9, 2019 | 36% |
| Operational/Managerial Control | Aug 9, 2019 | ||
| Adp of the SNF | Aug 9, 2019 | ||
| Steven Turofsky |
Operational/Managerial Control | Aug 9, 2019 | |
| Adp of the SNF | Aug 9, 2019 | ||
| David Berkowitz |
5% Or Greater Indirect Ownership Interest | Nov 1, 2019 | 32% |
| Raymond Talamona |
Managing Control - Governing Body |
Aug 9, 2019 | |
| Adp of the SNF | Aug 9, 2019 | ||
| Declaration of Trust of Yosef Meystel |
5% Or Greater Direct Ownership Interest | Aug 9, 2019 | 32% |
| Nury E Carreno |
Operational/Managerial Control | Aug 9, 2019 | |
| Adp of the SNF | Aug 9, 2019 | ||
| Brandon Payne Brissette |
Operational/Managerial Control | Aug 9, 2019 | |
| Managing Control - Governing Body |
Aug 9, 2019 | ||
| Adp of the SNF | Aug 9, 2019 | ||
| Naftali Wilhelm |
Operational/Managerial Control | Aug 9, 2019 | |
| Adp of the SNF | Aug 9, 2019 | ||
| Curis Services LLC |
Adp of the SNF | Aug 9, 2019 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191119001513 | MA | Part a Provider - Skilled Nursing Facility | 2466884218 | Practice locations: Provincetown, MA |
National Provider Directory
- Tax ID family
- Seashore Pointe Rehab Center LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
Seashore Pointe Rehab Center LLC
100 Alden Street
Provincetown, MA 02657
Mailing address
320 Norwood Park South
Norwood, MA 02062
Phone (781) 255-0531
Other providers in Provincetown, MA
- Mark Edward Schiffman
- Seashore Point
- Seashore Point - Deaconess Inc
- Seashore Point Wellness and Rehab
- Seashore Point-Deaconess, Inc.
- Seashore Pointe Rehab Center LLC
- Zumm Serrano
- Jennifer Louise Shannon
- William E Shay
- Brian J Sheerin
All providers in Provincetown, MA · Skilled Nursing Facility in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2019. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.