Organization Active NPI

Metro West Rehab Corp

  • Rehabilitation Hospital
  • Westborough, MA
National Provider Identifier
1093744286
Registry record updated Jun 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
License
104 Issued in MA
Legal business name
METRO WEST REHAB CORP
Practice address
150 Flanders Rd
Westborough, MA 01581-1017
Phone
(508) 871-2000
Fax
(508) 871-2048
NPI assigned
Jul 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2011

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

Authorized official

Name
Mr. Alfred J Arcidi
Title
Senior Vice President
Phone
(978) 556-5858

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X 104 MA
Rehabilitation Hospital 283X00000X 104 MA Primary

Addresses

Primary practice location

150 Flanders Rd
Westborough, MA 01581-1017

Mailing address

25 Railroad SQ
Suite 503
Haverhill, MA 01832-5721
Phone (978) 556-5907

Other identifiers 15

IdentifierTypeStateIssuer
S011971OtherCHAMPUS
413150OtherCIGNA/HEALTHSOURCE
2222303310OtherMABLUE CROSS (OUTPATIENT)
873262OtherAETNA/US HEALTHCARE
5080305OtherEVERCARE
0019446OtherMANEIGHBORHOOD HEALTH PLAN
110027433AMedicaidMA
1103237MedicaidMA
613991OtherMATUFTS HEALTH PLAN (OP)
110027433BMedicaidMA
1211854MedicaidMA
2222303301OtherMABLUE CROSS (IP)
2222303302OtherMABLUE CROSS IP LEV 2
613898OtherMATUFTS HEALTH PLAN (IP)
903265OtherMAHARVARD PILGRIM

Other names 1

  • WHITTIER REHABILITATION HOSPITAL-WESTBOROUGH Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050606000389 MA Part B Supplier - Clinic/Group Practice 4183693542 Receives reassigned benefits from 7 practitioners
Practice locations: Westborough, MA
O20080223000049 MA Part A Provider - Hospital 4183693542 Practice locations: Bradford, MA; Westborough, MA

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Hospital certification: CCN 222048

Legal name
METRO WEST REHAB CORP
Doing business as
WHITTIER REHABILITATION HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Long-term
Participating since
Oct 1, 2005
Last certification
May 16, 2011
Beds
88
Ownership / control type
Private (for profit)
Organization structure
CorporationProprietary
Incorporated
Jun 19, 1992 in MA
Enrollment address
150 Flanders Rd
Westborough, MA 15811017
Hospital Rehabilitation Unit
Hospital subgroups
Rehabilitation

National Provider Directory

National Provider Directory
Tax ID family
Metro West Rehab Corp4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Alfred R. Arcidi Individual Corporate DirectorDirector Feb 4, 2019
Alfred J Arcidi Individual 5% Or Greater Indirect Ownership Interest Nov 1, 2012 50%
Corporate OfficerPresident Jun 19, 1992 50%
Corporate DirectorDirector Jun 19, 1992 50%
Whittier Healthcare Holdings II Inc Organization, Haverhill, MA Corporation 5% Or Greater Direct Ownership Interest Dec 31, 2010 100%
Philip M Arcidi Individual 5% Or Greater Indirect Ownership Interest Dec 31, 2012 33.3%
Corporate Officer Dec 31, 2012
Corporate Director Nov 12, 2007
Michael P Arcidi Individual 5% Or Greater Indirect Ownership Interest Dec 31, 2010 33.3%
Corporate OfficerSecretary VP of Operations Sep 19, 1992
Corporate DirectorDirector Jun 19, 1992
Deborah D'Apolito Individual W-2 Managing EmployeeDirector of Network Provider Con Jun 7, 2017
Rebecca Roman Individual W-2 Managing Employee Dec 31, 2010
Whittier Healthcare Trust Organization, Haverhill, MA 5% Or Greater Indirect Ownership Interest Dec 31, 2012 66.6%
Greenleaf VI II Inc Organization, Kingshill, VI Management services company Operational/Managerial Control Jan 1, 2013 100%

Facilities with the same owner 5

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

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 12

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

Care Compare: Long-term care hospital

Medicare Care Compare
Listed as
Whittier Rehabilitation HospitalCCN 222048
Ownership
For profit
Certified
Oct 1, 2005
Medicare certification status
ActiveFrom the Provider of Services file
Beds
88

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308873600000",
    "number": "1093744286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 RAILROAD SQ",
            "address_2": "SUITE 503",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018325721",
            "telephone_number": "978-556-5907",
            "fax_number": "978-521-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 FLANDERS RD",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015811017",
            "telephone_number": "508-871-2000",
            "fax_number": "508-871-2048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO WEST REHAB CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2011-06-24",
        "status": "A",
        "authorized_official_last_name": "ARCIDI",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "978-556-5858",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "MA",
            "license": "104",
            "primary": false
        },
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "MA",
            "license": "104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "S011971",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA/HEALTHSOURCE",
            "identifier": "413150",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS (OUTPATIENT)",
            "identifier": "2222303310",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA/US HEALTHCARE",
            "identifier": "873262",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE",
            "identifier": "5080305",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "0019446",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110027433A",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1103237",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN (OP)",
            "identifier": "613991",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110027433B",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1211854",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS (IP)",
            "identifier": "2222303301",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS IP LEV 2",
            "identifier": "2222303302",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN (IP)",
            "identifier": "613898",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "903265",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WHITTIER REHABILITATION HOSPITAL-WESTBOROUGH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westborough, MA

Sources for this page

Verify at the official NPI Registry.