Spaulding Nursing and Therapy Center Brighton, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SPAULDING NURSING AND THERAPY CENTER BRIGHTON, INC.

Doing business as

Spaulding Nursing and Therapy Center Brighton

Practice address

100 N Beacon St
Allston, MA 02134-1928

Phone

(617) 726-9700

NPI assigned

Jul 18, 2005

Last updated

Aug 17, 2022By 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

Maureen Banks

Title

President

Phone

(617) 952-5801

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SPAULDING NURSING AND THERAPY CENTER BRIGHTON Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1093714693. Details of each certification follow.

• CCN 225014A Skilled nursing facility · Details

Skilled nursing facility certification: CCN 225014A

Legal name

SPAULDING NURSING AND THERAPY CENTER BRIGHTON, INC.

Doing business as

SPAULDING NURSING AND THERAPY CENTER BRIGHTON

Organization structure

CorporationNon-profit

Incorporated

Aug 9, 1985 in MA

Enrollment address

100 N Beacon St
Allston, MA 02134-1928

Nursing home name

SPAULDING NURSING AND THERAPY CENTER - BRIGHTON

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 25

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 5

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

• Daniel Daneshvar, M.D., PH.D.

  • Physical Medicine & Rehabilitation Physician
  • Charlestown, MA
  • NPI 1386096642

  Corporate Officer

  CMS ownership
• Michael S Gee, MD PHD

  • Diagnostic Radiology Physician
  • Boston, MA
  • NPI 1215911136

  Corporate Director

  CMS ownership
• Ali Shahbaz Raja, M.D.

  • Emergency Medicine Physician
  • Boston, MA
  • NPI 1679644025

  Corporate Director

  CMS ownership
• Jonathon H Schwartz, MD

  • Nephrology Physician
  • Cambridge, MA
  • NPI 1689644932

  Corporate Director, Operational/Managerial Control

  CMS ownership
• Louis Waldman, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • La Grange, IL
  • NPI 1588981526

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 15

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

• Brigham and Women's Faulkner Hospital Inc

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1578677811

  Mass General Brigham Incorporated

  CMS ownership
• Cooley Dickinson Hospital Inc

  • General Acute Care Hospital
  • Northampton, MA
  • NPI 1477596310

  Mass General Brigham Incorporated

  CMS ownership
• Cooley Dickinson Hospital Inc

  • Psychiatric Hospital Unit
  • Northampton, MA
  • NPI 1871512814

  Mass General Brigham Incorporated

  CMS ownership
• Mass General Brigham Home Care, Inc.

  dba Partners Healthcare At Home - Home Care

  • Home Health Agency
  • Newton, MA
  • NPI 1083644017

  Mass General Brigham Incorporated

  CMS ownership
• Massachusetts Eye and Ear Infirmary

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1639101751

  Mass General Brigham Incorporated

  CMS ownership
• Nantucket Cottage Hospital

  • Rural Acute Care Hospital
  • Nantucket, MA
  • NPI 1447214622

  Mass General Brigham Incorporated

  CMS ownership
• Nantucket Cottage Hospital

  dba Nantucket Cottage Medical Group

  • Rural Health Clinic/Center
  • Nantucket, MA
  • NPI 1477021608

  Mass General Brigham Incorporated

  CMS ownership
• Nantucket Cottage Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Nantucket, MA
  • NPI 1750448767

  Mass General Brigham Incorporated

  CMS ownership
• North Shore Medical Center, Inc.

  dba Salem Hospital

  • Psychiatric Hospital Unit
  • Salem, MA
  • NPI 1417972647

  Mass General Brigham Incorporated

  CMS ownership
• North Shore Medical Center, Inc.

  dba Salem Hospital

  • General Acute Care Hospital
  • Salem, MA
  • NPI 1730121633

  Mass General Brigham Incorporated

  CMS ownership
• Rehabilitation Hospital of the Cape and Islands, Corporation

  dba Spaulding Rehabilitation Hospital - Cape Cod

  • Rehabilitation Hospital
  • E Sandwich, MA
  • NPI 1265489736

  Mass General Brigham Incorporated

  CMS ownership
• Spaulding Hospital-Cambridge Inc.

  dba Spaulding Hospital for Continuing Medical Care - Cambridge

  • Rehabilitation Hospital Unit
  • Cambridge, MA
  • NPI 1538995659

  Mass General Brigham Incorporated

  CMS ownership

Practitioners 5

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.

• Gianni Bono

  • Geriatric Medicine (Internal Medicine) Physician
  • Boston, MA
  • NPI 1538510995
  NPD (past)
• Irena Druzba-Lobsenz, M.D.

  • Internal Medicine Physician
  • Peabody, MA
  • NPI 1417915554
  NPD (past)
• ABA Ewusi

  • Internal Medicine Physician
  • Cambridge, MA
  • NPI 1205847506
  NPD (past)
• Howard J Leung, MD

  • Hospitalist Physician
  • Brighton, MA
  • NPI 1902225121
  NPD (past)
• Louis Waldman, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • La Grange, IL
  • NPI 1588981526
  NPD (past)

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660694400000",
    "number": "1093714693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N BEACON ST",
            "city": "ALLSTON",
            "state": "MA",
            "postal_code": "021341928",
            "telephone_number": "617-726-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N BEACON ST",
            "city": "ALLSTON",
            "state": "MA",
            "postal_code": "021341928",
            "telephone_number": "617-726-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPAULDING NURSING AND THERAPY CENTER BRIGHTON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-18",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A",
        "authorized_official_last_name": "BANKS",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-952-5801"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0928275",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "SPAULDING NURSING AND THERAPY CENTER BRIGHTON",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samantha Ann Smith
• Olga M Soler
• Won-Jae Son
• Kimberly Sousa
• Shannon Elizabeth Sousa
• Erik Spears, LIC.AC.
• Breanna Spencer
• Ivonnylda Spinola
• Jim Daniel Spisto
• Nicholas Samuel Spitz, NP

• Skilled Nursing Facility in Allston, MA
• Providers in Allston, 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 Aug 17, 2022; 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.