Medway Country Manor, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0840 Issued in MA

Legal business name

MEDWAY COUNTRY MANOR, INC.

Doing business as

Medway Country Manor Skilled Nursing & Rehabilitation

Practice address

115 Holliston St
Medway, MA 02053-1954

Phone

(508) 533-6634

Fax

(508) 533-7048

NPI assigned

May 24, 2005

Last updated

Jul 30, 2014By 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

Mr. David Simha

Title

President

Phone

(917) 885-7050

Specialties & licenses 4

Addresses

Other identifiers 6

Other names 1

• Medway Country Manor Skilled Nursing & Rehabilitation Doing business as

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1144223074. Details of each certification follow.

• CCN 225412 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 225412

Legal name

MEDWAY COUNTRY MANOR, INC.

Doing business as

MEDWAY COUNTRY MANOR SKILLED NURSING & REHABILITATION CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jul 1, 1990

Last certification

Nov 25, 2024

Beds

123

Ownership / control type

Individual

Organization structure

CorporationProprietary

Enrollment address

115 Holliston St
Medway, MA 02053-1954

Nursing home name

MEDWAY COUNTRY MANOR SKILLED NURSING & REHABILITAT

Affiliated entity

SHIMON LEFKOWITZ

Listed as

Medway Country Manor Skilled Nursing & RehabilitatCCN 225412 · All quality measures

Type

Medicare and Medicaid

Ownership

For profit - Individual

Certified

Jul 1, 1990

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

123114.7 residents per day on average

Chain

Shimon Lefkowitz5 facilities in the chain

Special focus status

SFF

Penalties (3 years)

3Fines totaling $230,018

Processed by Care Compare on Aug 1, 2026.

Tax ID family

Medway Country Manor4 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.

• Medway Country Manor Inc

  dba Generations Outpatient Wellness & Rehab - Occupational Therapy

  • Occupational Therapist
  • Medway, MA
  • NPI 1609049329
  NPD tax ID
• Medway Country Manor, Inc.

  dba Generations Outpatient Wellness & Rehabilitation Center

  • Physical Therapist
  • Medway, MA
  • NPI 1205854981
  NPD tax ID
• Medway Country Manor, Inc.

  dba Generations Outpatient Wellness & Rehab - Speech Therapy

  • Speech-Language Pathologist
  • Medway, MA
  • NPI 1245403963
  NPD tax ID

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.

Owners & managing parties with NPI records 1

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

• Steven Bbuye, M.D

  • Emergency Medicine Physician
  • Brockton, MA
  • NPI 1780943506

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 2

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

• Amherst Nursing Home, Inc

  dba Center for Extended Care at Amherst

  • Skilled Nursing Facility
  • Amherst, MA
  • NPI 1407842610

  Mavado Management LLC

  CMS ownership
• Barr Street Corporation

  dba Townview Health and Rehabilitation Center

  • Skilled Nursing Facility
  • Canonsburg, PA
  • NPI 1275536880

  Mavado Management LLC

  CMS ownership

Practitioners 1

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.

• Alireza Toossi, MD

  • Internal Medicine Physician
  • Boston, MA
  • NPI 1780871970
  NPD (past)

Affiliated clinicians 1

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

• Alireza Toossi, MD

  • Internal Medicine Physician
  • Boston, MA
  • NPI 1780871970

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406678400000",
    "number": "1144223074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 HOLLISTON ST",
            "city": "MEDWAY",
            "state": "MA",
            "postal_code": "020531954",
            "telephone_number": "508-533-6634",
            "fax_number": "508-533-7048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 HOLLISTON ST",
            "city": "MEDWAY",
            "state": "MA",
            "postal_code": "020531954",
            "telephone_number": "508-533-6634",
            "fax_number": "508-533-7048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDWAY COUNTRY MANOR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2014-07-30",
        "status": "A",
        "authorized_official_last_name": "SIMHA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-885-7050",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "0840",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "0840",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "0840",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "0840",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0910481",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Y61422",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NSC",
            "identifier": "0461870001",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "OG0035",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "2222541201",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "SG0026",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medway Country Manor Skilled Nursing & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Linda C. McKinnon, P.T.
• Nathaniel McMahan
• Patrick R McSweeney, M.D.
• Sean Christopher McSweeney, CNP
• Medway Country Manor Inc (Generations Outpatient Wellness & Rehab - Occupational Therapy)
• Medway Country Manor, Inc. (Generations Outpatient Wellness & Rehabilitation Center)
• Medway Country Manor, Inc. (Generations Outpatient Wellness & Rehab - Speech Therapy)
• Medway Family Dental PLLC (Medway Family Dental)
• Cynthia Lynne Meeske, LICSW
• Kelli Leigh Meyer, MS, LAT, ATC

• Skilled Nursing Facility in Medway, MA
• Providers in Medway, 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 Jul 30, 2014; 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.