Lynn Medical Investors LTD PTR
Organization Active NPI Skilled Nursing Facility · Lynn, MA
NPI 1225036080 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1225036080
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 0925 (MA)
- Legal business name
- LYNN MEDICAL INVESTORS LTD PTR
- Practice address
- 111 Birch St
Lynn, MA 01902-1574 - Phone
- (781) 592-9667
- Fax
- (781) 599-6590
- NPI assigned
- Jul 14, 2005
- Organization subpart
- No
Authorized official
- Name
- Cindy S Cross
- Title
- Assistant Secretary
- Phone
- (423) 473-5867
Owners & managing parties with NPI records 26
Facilities with the same owner 193
Practitioners 4
-
Savitha R Tudi, M.D
-
Jatinder Aujla, MD
Affiliated clinicians 2
Medicare Care Compare: Nursing home
- Listed as
- Life Care Center of the North Shore
- Overall star rating
- ★★★★★ 5 of 5
- Health inspections
- ★★★★☆ 4 of 5
- Staffing
- ★★★★☆ 4 of 5
- Quality measures
- ★★★★★ 5 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Dec 6, 1990
- Medicare certification status
- Active
- Certified beds
- 123 · 117.2 residents per day on average
- Chain
- Life Care Centers of America
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D0072547 | Life Care Center of the North Shore | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Skilled nursing facility certification: CCN 225529
- Legal name
- LYNN MEDICAL INVESTORS LTD PTR
- Doing business as
- LIFE CARE CENTER OF THE NORTH SHORE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Dec 6, 1990
- Last certification
- Apr 3, 2025
- Beds
- 123
- Ownership / control type
- Corporation
- Multi-facility organization
- Life Care Centers of America
- Organization structure
- Partnership · Proprietary
- Enrollment address
- 111 Birch St
Lynn, MA 01902-1574 - Nursing home name
- LIFE CARE CENTER OF THE NORTH SHORE
- Affiliated entity
- LIFE CARE CENTERS OF AMERICA
All disclosed owners & managing parties 19
| Name | Role | Since | Share |
|---|---|---|---|
| Forrest L Preston |
Limited Partnership Interest |
Aug 19, 1987 | 1% |
| Adp of the SNF | Aug 31, 2000 | ||
| Indirect Ownership Interest | Aug 17, 1987 | 99% | |
| Terry Henry |
Corporate Officer |
Aug 16, 1999 | |
| Lynn Medical Investors LTD PTR |
Operational/Managerial Control | Aug 30, 1990 | |
| Adp of the SNF | Aug 31, 2000 | ||
| |
Adp of the SNF | Mar 10, 2025 | |
| Todd Fletcher |
Operational/Managerial Control | Dec 13, 2024 | |
| Larissa J Lucas |
Operational/Managerial Control | Oct 1, 2023 | |
| Adp of the SNF | Mar 10, 2025 | ||
| Developers Investment Company Inc |
Operational/Managerial Control | Dec 31, 1994 | |
| Indirect Ownership Interest | Dec 31, 1994 | 0.99% | |
| Life Care Affiliates II |
General Partnership Interest | Dec 31, 1994 | 99% |
| Operational/Managerial Control | Dec 31, 1994 | ||
| Adp of the SNF | Aug 31, 2000 | ||
| Aubrey Preston |
Operational/Managerial Control | Dec 13, 2024 | |
| Nancy Serozynsky |
Operational/Managerial Control | Nov 20, 2022 | |
| Managing Control - Governing Body |
Nov 20, 2022 | ||
| Carla Ciaramella |
Operational/Managerial Control | Apr 1, 2019 | |
| Managing Control - Governing Body |
Apr 1, 2019 | ||
| Adp of the SNF | Mar 10, 2025 | ||
| Joan E Thurmond |
Corporate Officer |
Sep 22, 2000 | |
| Cindy S Cross |
Corporate Officer |
Apr 21, 1994 | |
| |
Adp of the SNF | Aug 31, 2000 | |
| Richard Swanker |
Corporate Officer |
Apr 1, 2011 | |
| Corporate Director |
Jan 1, 2022 | ||
| Life Care Centers of America, Inc. |
Operational/Managerial Control | Mar 28, 1990 | 100% |
| Adp of the SNF | Mar 10, 2025 | ||
| Zofia M. Long |
Operational/Managerial Control | Mar 15, 2004 | |
| Managing Control - Governing Body |
Mar 15, 2004 | ||
| Lisa M Lay |
Corporate Officer |
Feb 9, 2018 | |
| Corporate Director |
Apr 24, 2017 | ||
| James Ziegler |
Operational/Managerial Control | Dec 13, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040813000726 | MA | Part a Provider - Skilled Nursing Facility | 1951374487 | Practice locations: Lynn, MA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 0925 | MA | Yes |
Addresses
Primary practice location
111 Birch St
Lynn, MA 01902-1574
Mailing address
3001 Keith St NW
Cleveland, TN 37312-3713
Phone (423) 473-5751
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 71-00252 | Other | MA | EVERCARE PLAN |
| 724665 | Other | MA | TUFTS HEALTH PLANS |
| 0919861 | Medicaid | MA | |
| HARBARD PILGRIM | Other | MA | 905071 |
Other names
- Life Care Center of the North Shore
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
Other providers in Lynn, MA
- Lynn Dental Associates, PLLC
- Lynn Dental Center
- Lynn Dental Health Inc
- Lynn Healthcare Solutions
- Lynn Home for Elderly Persons
- Lynn Optometry Services, LLC
- Lynn Oral Surgery Associates Inc
- Lynn Pediatric Dentistry and Orthodontics, LLC
- Lynn Physical Therapy
- Lynn Physical Therapy Center, Inc
All providers in Lynn, MA · Skilled Nursing Facility in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.