Organization Active NPI

Jewish Rehabilitation Center

Doing business as Shapiro Rudolph Adult Day Care

  • Adult Day Care Clinic/Center
  • Peabody, MA
National Provider Identifier
1255478962
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
JEWISH REHABILITATION CENTER
Doing business as
Shapiro Rudolph Adult Day Care
Shapiro Rudolph Adult Day Health Center
Practice address
240 Lynnfield St
Peabody, MA 01960-5055
Phone
(978) 471-5100
Fax
(978) 471-5508
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Authorized official

Name
Mr. Jennifer Santerre
Title
Cfo
Phone
(978) 471-5100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary
Skilled Nursing Facility 314000000X 0776 MA

Addresses

Primary practice location

240 Lynnfield St
Peabody, MA 01960-5055

Mailing address

240 Lynnfield St
Peabody, MA 01960-5055
Phone (978) 471-5100

Other identifiers 1

IdentifierTypeStateIssuer
1948555MedicaidMA

Other names 2

  • SHAPIRO RUDOLPH ADULT DAY CARE Doing business as
  • Shapiro Rudolph Adult Day Health Center Doing business as

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
22D2126369Shapiro-Rudolph Adult Day Health Center240 Lynnfield Street, Peabody, MA 01960Certificate of waiverFeb 23, 2027

National Provider Directory

National Provider Directory
Tax ID family
Jeffrey and Susan Brudnick Center for Li3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695859200000",
    "number": "1255478962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 LYNNFIELD ST",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019605055",
            "telephone_number": "978-471-5100",
            "fax_number": "978-471-5508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 LYNNFIELD ST",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019605055",
            "telephone_number": "978-471-5100",
            "fax_number": "978-471-5508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEWISH REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A",
        "authorized_official_last_name": "SANTERRE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "978-471-5100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "0776",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1948555",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHAPIRO RUDOLPH ADULT DAY CARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SHAPIRO RUDOLPH ADULT DAY CARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Shapiro Rudolph Adult Day Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Peabody, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.