Organization Active NPI

Senior Residential Care - Kingston, Inc.

  • Skilled Nursing Facility
  • Kingston, MA
National Provider Identifier
1144279712
Registry record updated Oct 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0931 Issued in MA
Legal business name
SENIOR RESIDENTIAL CARE - KINGSTON, INC.
Practice address
17 Chipman Way
Kingston, MA 02364-1039
Phone
(781) 585-4100
Fax
(781) 585-1651
NPI assigned
May 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2012

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

Authorized official

Name
Ms. Tamilyn M. Levin, ESQ.
Title
Cfo
Phone
(781) 707-9510

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X MA
Skilled Nursing Facility 314000000X 0931 MA Primary

Addresses

Primary practice location

17 Chipman Way
Kingston, MA 02364-1039

Mailing address

63 Kendrick St
Needham, MA 02494-2708
Phone (781) 707-9085

Other identifiers 4

IdentifierTypeStateIssuer
1906119MedicaidMA
110026630CMedicaidMA
0928160MedicaidMA
110026630AMedicaidMA

Other names 1

  • Wingate at Silver Lake Rehab. & Skilled Nsg. Residence Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060417000758 MA Part A Provider - Skilled Nursing Facility 2860401072 Practice locations: Kingston, MA

Skilled nursing facility certification: CCN 225544

Legal name
SENIOR RESIDENTIAL CARE - KINGSTON, INC.
Doing business as
WINGATE AT SILVER LAKE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 1, 1992
Last certification
Mar 25, 2025
Beds
164
Ownership / control type
Individual
Multi-facility organization
Wingate Living
Most recent change of ownership
Jul 24, 2002
Organization structure
CorporationProprietary
Incorporated
Feb 1, 1992 in MA
Enrollment address
17 Chipman Way
Kingston, MA 02364-1039
Nursing home name
WINGATE AT SILVER LAKE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Wingate at Silver LakeCCN 225544
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Feb 1, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
164151.8 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D0865066Wingate at Silver Lake Rehabilitative & Skilled17 Chipman Way, Kingston, MA 02364Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Jonathan Scharf Individual Corporate OfficerClerk and General Counsel Oct 1, 2017
Scott C Schuster Individual 5% Or Greater Direct Ownership InterestPresident Jul 16, 2002 100%
Corporate OfficerPresident Aug 8, 2001 100%
Corporate DirectorPresident Aug 8, 2001 100%
Operational/Managerial Control Aug 8, 2001
Managing Control - Governing BodyCeo Aug 8, 2001
Christopher Stack Individual Corporate OfficerChief Operating Officer Jan 1, 2025 100%
Adp of the SNF Jan 1, 2025
Stephanie L Groll Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Alexandra Schuster Individual Corporate OfficerPresident Jan 1, 2025 100%
Operational/Managerial Control Jan 1, 2025
Gregory Logan Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF May 9, 2025
John D Diorio Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Brian Swartz Individual Corporate OfficerChief Financial Officer Jan 1, 2025 100%
Adp of the SNF Jan 1, 2025

Owners & managing parties with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 3

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

Affiliated clinicians 1

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": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349395200000",
    "number": "1144279712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 KENDRICK ST",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024942708",
            "telephone_number": "781-707-9085",
            "fax_number": "781-707-9285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 CHIPMAN WAY",
            "city": "KINGSTON",
            "state": "MA",
            "postal_code": "023641039",
            "telephone_number": "781-585-4100",
            "fax_number": "781-585-1651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR RESIDENTIAL CARE - KINGSTON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2012-10-05",
        "status": "A",
        "authorized_official_last_name": "LEVIN",
        "authorized_official_first_name": "TAMILYN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "781-707-9510",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ESQ."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MA",
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "0931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1906119",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110026630C",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0928160",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110026630A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wingate at Silver Lake Rehab. & Skilled Nsg. Residence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kingston, MA

Sources for this page

Verify at the official NPI Registry.