NPIMap

Organization Active NPI

743 Main Street Operator LLC

  • Skilled Nursing Facility
  • Melrose, MA
National Provider Identifier
1194254565
Registry record updated Jun 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
743 MAIN STREET OPERATOR LLC
Practice address
743 Main St
Melrose, MA 02176-2707
Phone
(781) 662-7500
Fax
(781) 665-2594
NPI assigned
Jun 8, 2017
Organization subpart
Yes
Parent organization
NEXT STEP HEALTHCARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 8, 2017

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

Authorized official

Name
William Howard Stephan
Title
Chief Financial Officer
Phone
(617) 943-7747

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

743 Main St
Melrose, MA 02176-2707

Mailing address

75 2ND Ave Ste 605
Needham, MA 02494-2863
Phone (617) 943-7747

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170817001842 MA Part A Provider - Skilled Nursing Facility 3870865330 Practice locations: Melrose, MA

Skilled nursing facility certification: CCN 225659

Legal name
743 MAIN STREET OPERATOR LLC
Doing business as
THE ELMHURST HEALTHCARE
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
Dec 30, 1994
Last certification
Jun 11, 2025
Beds
45
Ownership / control type
Corporation
Multi-facility organization
Next Step Healthcare
Most recent change of ownership
Mar 15, 2006
Organization structure
LLCProprietary
Enrollment address
743 Main St
Melrose, MA 02176-2707
Nursing home name
ELMHURST HEALTHCARE (THE)
Affiliated entity
NEXT STEP HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Elmhurst Healthcare (the)CCN 225659
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
4 of 5
Type
Medicare
Ownership
For profit - Corporation
Certified
Dec 30, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4530.9 residents per day on average
Chain
Next Step Healthcare14 facilities in the chain

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
22D2139981Elmhurst Healthcare, the743 Main St, Melrose, MA 02176Certificate of waiverNov 12, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Alexis Weiss Individual Operational/Managerial Control Nov 23, 2020
Adp of the SNF Nov 23, 2020
William Stephan Individual 5% Or Greater Indirect Ownership InterestCfo Sep 1, 2017 50%
Corporate OfficerChief Financial Officer Sep 1, 2017 50%
Rishi Likhi Individual Operational/Managerial Control Mar 16, 2024
Adp of the SNF Mar 16, 2024
Damian Dell'Anno Individual 5% Or Greater Indirect Ownership InterestCeo Sep 1, 2017 50%
Corporate OfficerChief Executive Officer Sep 1, 2017 50%
Next Step Healthcare LLC Organization, Woburn, MA LLC, Chain home office, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Sep 1, 2017 100%
Operational/Managerial Control Sep 1, 2017 100%
Adp of the SNF Sep 1, 2017

Owners & managing parties with NPI records 1

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

Facilities with the same owner 13

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

View all 13

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1496880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496880000000",
    "number": "1194254565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 2ND AVE STE 605",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024942863",
            "telephone_number": "617-943-7747",
            "fax_number": "617-454-1051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "743 MAIN ST",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021762707",
            "telephone_number": "781-662-7500",
            "fax_number": "781-665-2594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "743 MAIN STREET OPERATOR LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEXT STEP HEALTHCARE LLC",
        "enumeration_date": "2017-06-08",
        "last_updated": "2017-06-08",
        "status": "A",
        "authorized_official_last_name": "STEPHAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "617-943-7747"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melrose, MA

Sources for this page

Verify at the official NPI Registry.