NPIMap

Organization Active NPI

Lynn Medical Investors LTD PTR

Doing business as Life Care Center of the North Shore

  • Skilled Nursing Facility
  • Lynn, MA
National Provider Identifier
1225036080
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0925 Issued in MA
Legal business name
LYNN MEDICAL INVESTORS LTD PTR
Doing business as
Life Care Center of the North Shore
Practice address
111 Birch St
Lynn, MA 01902-1574
Phone
(781) 592-9667
Fax
(781) 599-6590
NPI assigned
Jul 14, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Authorized official

Name
Cindy S Cross
Title
Assistant Secretary
Phone
(423) 473-5867

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0925 MA Primary

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 names 1

  • Life Care Center of the North Shore Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040813000726 MA Part A Provider - Skilled Nursing Facility 1951374487 Practice locations: Lynn, MA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1225036080. Details of each certification follow.

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
PartnershipProprietary
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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Life Care Center of the North ShoreCCN 225529 · All quality measures
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
ActiveFrom the Provider of Services file
Certified beds
123117.2 residents per day on average
Chain
Life Care Centers of America194 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
22D0072547Life Care Center of the North Shore111 Birch St, Lynn, MA 01902Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 19

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

NameRoleSinceShare
Forrest L Preston Individual Limited Partnership InterestPartner Aug 19, 1987 1%
Adp of the SNF Aug 31, 2000
Indirect Ownership Interest Aug 17, 1987 99%
Terry Henry Individual Corporate OfficerAssistant Treasurer of MGMT Co Aug 16, 1999
Lynn Medical Investors LTD PTR Organization, Cleveland, TN For-profit Operational/Managerial Control Aug 30, 1990
Adp of the SNF Aug 31, 2000
Organization, Cleveland, TN LLC, For-profit Adp of the SNF Mar 10, 2025
Todd Fletcher Individual Operational/Managerial Control Dec 13, 2024
Larissa J Lucas Individual Operational/Managerial Control Oct 1, 2023
Adp of the SNF Mar 10, 2025
Developers Investment Company Inc Organization, Cleveland, TN Corporation, For-profit Operational/Managerial Control Dec 31, 1994
Indirect Ownership Interest Dec 31, 1994 0.99%
Life Care Affiliates II Organization, Cleveland, TN For-profit, Owned by another organization or individual General Partnership Interest Dec 31, 1994 99%
Operational/Managerial Control Dec 31, 1994
Adp of the SNF Aug 31, 2000
Aubrey Preston Individual Operational/Managerial Control Dec 13, 2024
Nancy Serozynsky Individual Operational/Managerial Control Nov 20, 2022
Managing Control - Governing BodyDirector of Nursing Nov 20, 2022
Carla Ciaramella Individual Operational/Managerial Control Apr 1, 2019
Managing Control - Governing BodyAdministrator Apr 1, 2019
Adp of the SNF Mar 10, 2025
Joan E Thurmond Individual Corporate OfficerAssistant Secretary of MGMT Co Sep 22, 2000
Cindy S Cross Individual Corporate OfficerVP / Assist. Secretary of MGMT. Co. Apr 21, 1994
Organization, Cleveland, TN LLC, For-profit Adp of the SNF Aug 31, 2000
Richard Swanker Individual Corporate OfficerChief Tax Officer of MGMT. Co. Apr 1, 2011
Corporate DirectorDirector of MGMT. Co. Jan 1, 2022
Life Care Centers of America, Inc. Organization, Cleveland, TN Corporation, Management services company, For-profit, Chain home office Operational/Managerial Control Mar 28, 1990 100%
Adp of the SNF Mar 10, 2025
Zofia M. Long Individual Operational/Managerial Control Mar 15, 2004
Managing Control - Governing BodyDivision Vice President Mar 15, 2004
Lisa M Lay Individual Corporate OfficerSecretary of MGMT. Co. Feb 9, 2018
Corporate DirectorDirector of MGMT. Co. Apr 24, 2017
James Ziegler Individual Operational/Managerial Control Dec 13, 2024

Owners & managing parties with NPI records 26

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

View all 26

Facilities with the same owner 193

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

View all 193

Practitioners & affiliated clinicians

Practitioners 4

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": "1121299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783900800000",
    "number": "1225036080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 KEITH ST NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373123713",
            "telephone_number": "423-473-5751",
            "fax_number": "423-339-8342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 BIRCH ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019021574",
            "telephone_number": "781-592-9667",
            "fax_number": "781-599-6590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNN MEDICAL INVESTORS LTD PTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-14",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A",
        "authorized_official_last_name": "CROSS",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "423-473-5867"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "0925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "284 Merchant St",
            "city": "Ste Genevieve",
            "state": "MO",
            "country_code": "US",
            "postal_code": "636701610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Life Care Center of the North Shore",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lynn, MA

Sources for this page

Verify at the official NPI Registry.