South Cove Manor Nursing and Rehabilitation Center, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SOUTH COVE MANOR NURSING AND REHABILITATION CENTER, INC.

Doing business as

South Cove Manor Nursing and Rehabilitation Center

Practice address

288 Washington St
Quincy, MA 02169-5523

Phone

(617) 423-0590

Fax

(617) 292-7922

NPI assigned

Dec 27, 2013

Last updated

Sep 19, 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. Richard Wong

Title

Ceo

Phone

(617) 423-0590

Specialties & licenses 1

Addresses

Other names 1

• South Cove Manor Nursing and Rehabilitation Center 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 1194146704. Details of each certification follow.

• CCN 225514 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 225514

Legal name

SOUTH COVE MANOR NURSING AND REHABILITATION CENTER INC

Doing business as

SOUTH COVE MANOR AT QUINCY POINT REHABILITATION CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jul 1, 1990

Last certification

Jul 31, 2024

Beds

141

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Incorporated

Feb 16, 2011 in MA

Enrollment address

288 Washington St
Quincy, MA 02169-5523

Nursing home name

SOUTH COVE MANOR NURSING & REHABILITATION CENTER

Listed as

South Cove Manor Nursing & Rehabilitation CenterCCN 225514 · All quality measures

Overall star rating

5 of 5

Health inspections

5 of 5

Staffing

4 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Jul 1, 1990

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

141135.6 residents per day on average

Processed by Care Compare on Aug 1, 2026.

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

CLIA laboratory certificates

All disclosed owners & managing parties 27

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 4

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

• Jason Zhensheng Qu, MD

  • Anesthesiology Physician
  • Boston, MA
  • NPI 1467443929

  Corporate Director

  CMS ownership
• Alice Lucille Rose, N.P.

  • Adult Health Nurse Practitioner
  • Norwood, MA
  • NPI 1558623504

  Corporate Director

  CMS ownership
• John M. Stevenson, M.D.

  • Internal Medicine Physician
  • Pembroke, MA
  • NPI 1043284789

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Hon Hoi Yee, MD

  • Internal Medicine Physician
  • Salem, MA
  • NPI 1851460679

  Corporate Director

  CMS ownership

Facilities with the same owner 1

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

• Dupage County

  dba DuPage Convalescent Center

  • Skilled Nursing Facility
  • Wheaton, IL
  • NPI 1649267980

  Symbria Rehab, Inc.

  CMS ownership

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.

• Cheng-Chieh Chuang, MD

  • Family Medicine Physician
  • Raynham, MA
  • NPI 1245344423
  NPD (past)
• John M. Stevenson, M.D.

  • Internal Medicine Physician
  • Pembroke, MA
  • NPI 1043284789
  NPD (past)
• Hanna T. Succar, M.D.

  • Internal Medicine Physician
  • Brockton, MA
  • NPI 1275928731
  NPD (past)

Affiliated clinicians 2

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

• Cheng-Chieh Chuang, MD

  • Family Medicine Physician
  • Raynham, MA
  • NPI 1245344423

  Nursing home

  Care Compare affiliation
• Michael Mel Walger, MD

  • Emergency Medicine Physician
  • Boston, MA
  • NPI 1225142110

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1388102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411084800000",
    "number": "1194146704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 WASHINGTON ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021695523",
            "telephone_number": "617-423-0590",
            "fax_number": "617-292-7922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 WASHINGTON ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021695523",
            "telephone_number": "617-423-0590",
            "fax_number": "617-292-7922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH COVE MANOR NURSING AND REHABILITATION CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-27",
        "last_updated": "2014-09-19",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "617-423-0590",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Cove Manor Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth M Souffront, PHD
• Soulcraft Psych LLC
• Shannon Sousa
• South Cove Community Health Center, Inc.
• South Cove Community Health Center, Inc.
• South Shore Dental Prosthetic
• South Shore Dental Prosthetic Associates, Inc.
• South Shore Dental Prosthetics Assoc. Inc
• South Shore Family Health Collaborative
• South Shore Family Health Collaborative, LLC

• Skilled Nursing Facility in Quincy, MA
• Providers in Quincy, 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 Sep 19, 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.