Jesmond Nursing Home Corporation

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0334 Issued in MA

Legal business name

JESMOND NURSING HOME CORPORATION

Doing business as

Jesmond Nursing Home

Practice address

271 Nahant Rd
Nahant, MA 01908-1341

Phone

(781) 581-0420

Fax

(781) 596-0878

NPI assigned

Oct 21, 2005

Last updated

Aug 22, 2020By 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

Maura Costin Scalise

Title

President

Phone

(781) 581-0420

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jesmond Nursing Home Doing business as

Tax ID family

Jesmond Nursing Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Wellesley Healthcare Solutions LLC

  dba Jesmond Nursing Home

  • Skilled Nursing Facility
  • Nahant, MA
  • NPI 1851666721
  NPD tax ID

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194714170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 NAHANT RD",
            "city": "NAHANT",
            "state": "MA",
            "postal_code": "019081341",
            "telephone_number": "781-581-0420",
            "fax_number": "781-596-0878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 NAHANT RD",
            "city": "NAHANT",
            "state": "MA",
            "postal_code": "019081341",
            "telephone_number": "781-581-0420",
            "fax_number": "781-596-0878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESMOND NURSING HOME CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCALISE",
        "authorized_official_first_name": "MAURA",
        "authorized_official_middle_name": "COSTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-581-0420"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "0334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0928194",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jesmond Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shealah Eve Bunnell, LCSW
• Ava Caccivio
• Astrid Faye Carrington, PHD
• Angela Dambrosio, M.ED
• Mariah Hanson
• Christine Johnson-Liscio, MS CCC/SLP
• Elina Kamen, ACNP-BC
• Mark Kamen
• Claudia Helen Orleans, OTRL
• Nicole Lynn Sanphy, R.N, B.S.N

• Skilled Nursing Facility in Nahant, MA
• Providers in Nahant, 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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.