Active NPI
Bane Harbor House, LLC
Doing business as Harbor House Rehabilitation and Nursing Center
- Skilled Nursing Facility
- Hingham, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- BANE HARBOR HOUSE, LLC
- Doing business as
- Harbor House Rehabilitation and Nursing Center
- Practice address
- 11 Condito Rd
Hingham, MA 02043-1746 - Phone
- (781) 749-4774
- Fax
- (781) 749-6881
- NPI assigned
- Apr 27, 2016
- Last updated
- Jan 26, 2022
- 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
- Mr. Richard C Bane
- Title
- President
- Phone
- (781) 474-2263
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
11 Condito Rd
Hingham, MA 02043-1746
Mailing address
350 Granite St Ste 2203
Braintree, MA 02184-4963
Phone (781) 474-2263
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 70012222205301 | Other | MA | BLUE CROSS |
| 110116523A | Medicaid | MA |
Other names 1
- Harbor House Rehabilitation and Nursing Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160818000823 | MA | Part A Provider - Skilled Nursing Facility | 0840582516 | Practice locations: Hingham, MA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1174978100. Details of each certification follow.
Skilled nursing facility certification: CCN 225662
- Legal name
- BANE HARBOR HOUSE LLC
- Doing business as
- HARBOR HOUSE NURSING AND REHABILITATION CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Feb 9, 1995
- Last certification
- Aug 6, 2024
- Beds
- 142
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Bane Care
- Organization structure
- LLC
- Incorporated
- Dec 23, 2015 in MA
- Enrollment address
- 11 Condito Rd
Hingham, MA 02043-1746 - Nursing home name
- HARBOR HOUSE NURSING & REHABILITATION CENTER
- Affiliated entity
- BANECARE MANAGEMENT
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Harbor House Nursing & Rehabilitation Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Feb 9, 1995
- Medicare certification status
- Active
- Certified beds
- 142
- Chain
- Banecare Management
National Provider Directory
National Provider Directory- Tax ID family
- Bane Harbor House LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Harbor House Adult Day Health
- Adult Day Care Clinic/Center
- Hingham, MA
- NPI 1609223940
-
dba Harbor House Rehabilitation and Nursing Center
- Skilled Nursing Facility
- Hingham, MA
- NPI 1396719860
Ownership & related parties
All disclosed owners & managing parties 4
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 |
|---|---|---|---|
| Marie Faria | W-2 Managing Employee | Jan 28, 2022 | |
| Morris Health Management LLC | 5% Or Greater Direct Ownership Interest | Jan 28, 2022 | 100% |
| Kevin P Morris | Corporate Officer | Jan 28, 2022 | |
| Bane Care Management LLC | Operational/Managerial Control | Jul 1, 2016 |
Facilities with the same owner 6
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Bay Path at Duxbury Nursing and Rehabilitation Center
- Skilled Nursing Facility
- Duxbury, MA
- NPI 1629432521
Bane Care Management LLC, Morris Health Management LLC
-
dba Hancock Park Rehabilitation and Nursing Center
- Skilled Nursing Facility
- Quincy, MA
- NPI 1447614243
Bane Care Management LLC, Morris Health Management LLC
-
dba John Scott House Rehabilitation and Nursing Center
- Skilled Nursing Facility
- Braintree, MA
- NPI 1215391024
Bane Care Management LLC, Morris Health Management LLC
-
dba Craneville Place Rehabilitation and Skilled Care Center
- Skilled Nursing Facility
- Dalton, MA
- NPI 1710304621
Bane Care Management LLC, Morris Health Management LLC
-
dba Springside Rehabilitation and Skilled Care Center
- Skilled Nursing Facility
- Pittsfield, MA
- NPI 1801213715
Bane Care Management LLC
-
- Community Based Hospice Care Agency
- Brookline, MA
- NPI 1932076759
Morris Health Management LLC
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Internal Medicine Physician
- Braintree, MA
- NPI 1801863196
-
- Internal Medicine Physician
- Pembroke, MA
- NPI 1043284789
-
- Internal Medicine Physician
- Brockton, MA
- NPI 1275928731
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Braintree, MA
- NPI 1801863196
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461715200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1643155200000",
"number": "1174978100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 GRANITE ST STE 2203",
"city": "BRAINTREE",
"state": "MA",
"postal_code": "021844963",
"telephone_number": "781-474-2263",
"fax_number": "781-878-9807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 CONDITO RD",
"city": "HINGHAM",
"state": "MA",
"postal_code": "020431746",
"telephone_number": "781-749-4774",
"fax_number": "781-749-6881"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BANE HARBOR HOUSE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-04-27",
"last_updated": "2022-01-26",
"certification_date": "2022-01-26",
"status": "A",
"authorized_official_last_name": "BANE",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "781-474-2263",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "70012222205301",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110116523A",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Harbor House Rehabilitation and Nursing Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Harbor House Rehabilitation and Nursing Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hingham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.