NPIMap

Organization Active NPI

Swansea Opco, LLC

Doing business as Country Gardens Health and Rehabilitation

  • Skilled Nursing Facility
  • Swansea, MA
National Provider Identifier
1194500983
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SWANSEA OPCO, LLC
Doing business as
Country Gardens Health and Rehabilitation
Practice address
2045 Grand Army Hwy
Swansea, MA 02777-3932
Phone
(508) 379-9700
NPI assigned
Aug 29, 2023
Last updated
Aug 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Authorized official

Name
William Segal
Title
Owner
Phone
(917) 202-0623

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

2045 Grand Army Hwy
Swansea, MA 02777-3932

Mailing address

257 Washington St
Westwood, MA 02090-1341

Other names 1

  • Country Gardens Health and Rehabilitation Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231026001302 MA Part A Provider - Skilled Nursing Facility 0547616674 Practice locations: Swansea, MA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1194500983. Details of each certification follow.

Skilled nursing facility certification: CCN 225185

Legal name
SWANSEA OPCO LLC
Doing business as
COUNTRY GARDENS HEALTH AND REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 1, 1975
Last certification
Jul 1, 2024
Beds
86
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Alpha Healthcare Management
Organization structure
LLCProprietary
Enrollment address
2045 Grand Army Hwy
Swansea, MA 02777-3932

Care Compare: Nursing home

Medicare Care Compare
Listed as
Country Gardens Health and RehabilitationCCN 225185 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Feb 1, 1975
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8671.2 residents per day on average
Penalties (3 years)
4Fines totaling $24,635

Processed by Care Compare on Aug 1, 2026.

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
Alpha SNF Ma LLC Organization, Brooklyn, NY Created for acquisition, Management services company, For-profit, Owned by another organization or individual Direct Ownership Interest Oct 15, 2023 100%
Adekunle G Fajana Individual Operational/Managerial Control Oct 4, 2024
Adp of the SNF Apr 26, 2025
William J Segal Individual Indirect Ownership Interest Oct 15, 2023 100%
Kevin Bishop Individual Operational/Managerial Control Oct 4, 2024
Adp of the SNF Apr 26, 2025
Michael Flanagan Individual Operational/Managerial Control Oct 4, 2024
Indirect Ownership Interest Oct 4, 2024 100%

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 6

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.

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": "1693267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693267200000",
    "number": "1194500983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 WASHINGTON ST",
            "city": "WESTWOOD",
            "state": "MA",
            "postal_code": "020901341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 GRAND ARMY HWY",
            "city": "SWANSEA",
            "state": "MA",
            "postal_code": "027773932",
            "telephone_number": "508-379-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWANSEA OPCO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-29",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A",
        "authorized_official_last_name": "SEGAL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-202-0623"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Country Gardens Health and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Swansea, MA

Sources for this page

Verify at the official NPI Registry.