Active NPI
Sacred Heart Home
- Skilled Nursing Facility
- New Bedford, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 882
- Legal business name
- SACRED HEART HOME
- Practice address
- 359 Summer St
New Bedford, MA 02740-5519 - Phone
- (508) 996-6751
- Fax
- (508) 996-5189
- NPI assigned
- Sep 19, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joanne Roque
- Title
- Ceo
- Phone
- (508) 679-8154
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 882 | MA | Primary |
Addresses
Primary practice location
359 Summer St
New Bedford, MA 02740-5519
Mailing address
359 Summer St
New Bedford, MA 02740-5519
Phone (508) 996-6751
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0905836 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050623000019 | MA | Part A Provider - Skilled Nursing Facility | 5597700278 | Practice locations: New Bedford, MA |
Skilled nursing facility certification: CCN 225389
- Legal name
- SACRED HEART HOME
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jul 1, 1990
- Last certification
- Jun 25, 2024
- Beds
- 217
- Ownership / control type
- Other Nonprofit
- Organization structure
- Corporation
- Incorporated
- Jun 25, 1923 in MA
- Enrollment address
- 359 Summer Street
New Bedford, MA 02740 - Nursing home name
- SACRED HEART NURSING HOME
- Affiliated entity
- DIOCESAN HEALTH FACILITIES
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Sacred Heart Nursing Home
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Other
- Certified
- Jul 1, 1990
- Medicare certification status
- Active
- Certified beds
- 217
- Chain
- Diocesan Health Facilities
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D0874657 | Sacred Heart Nursing Home | Certificate of waiver | Aug 11, 2027 |
National Provider Directory
National Provider DirectoryLocations
359 Summer St
New Bedford, MA 02740
Phone (508) 996-6751
Ownership & related parties
All disclosed owners & managing parties 13
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Jennifer M. Davis | W-2 Managing Employee | Jul 27, 2015 | |
| Joanne M Roque | Corporate Director | Jul 1, 2019 | |
| Operational/Managerial Control | Jul 1, 2019 | 100% | |
| Joanne Long | Corporate Director | Sep 24, 2014 | |
| Laura Mitchell | Operational/Managerial Control | Feb 1, 2020 | |
| Kevin Kiley | Corporate Director | Jul 1, 2019 | |
| Richard Wilson | Corporate Director | Sep 24, 2014 | |
| Curtis Mello | Contracted Managing Employee | Jan 1, 2020 | |
| John J Oliveira | Corporate Director | Sep 24, 2014 | |
| Edgar M Da Cunha | Corporate Officer | Sep 24, 2014 | 100% |
| John J Oliveira | Corporate Director | Sep 24, 2014 | |
| Walter Smith | Corporate Director | Sep 24, 2014 | |
| Richard Saunders | Corporate Director | Sep 24, 2014 | |
| Diocesan Health Facilities | Operational/Managerial Control | Jan 1, 2000 | |
| Other | Jan 1, 2000 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Pulmonary Disease Physician
- North Dartmouth, MA
- NPI 1124080312
Contracted Managing Employee
Facilities with the same owner 1
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Fairhaven, MA
- NPI 1073508883
Diocesan Health Facilities
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pulmonary Disease Physician
- North Dartmouth, MA
- NPI 1124080312
-
- Geriatric Medicine (Internal Medicine) Physician
- New Bedford, MA
- NPI 1093876906
-
- Geriatric Medicine (Internal Medicine) Physician
- New Bedford, MA
- NPI 1003859265
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- New Bedford, MA
- NPI 1003859265
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127088000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1641859200000",
"number": "1174518971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "359 SUMMER ST",
"city": "NEW BEDFORD",
"state": "MA",
"postal_code": "027405519",
"telephone_number": "508-996-6751",
"fax_number": "508-996-5189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "359 SUMMER ST",
"city": "NEW BEDFORD",
"state": "MA",
"postal_code": "027405519",
"telephone_number": "508-996-6751",
"fax_number": "508-996-5189"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SACRED HEART HOME",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-19",
"last_updated": "2022-01-11",
"certification_date": "2022-01-11",
"status": "A",
"authorized_official_last_name": "ROQUE",
"authorized_official_first_name": "JOANNE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "508-679-8154"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MA",
"license": "882",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0905836",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Bedford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.