Active NPI
Ayer Valley Rehab and Nursing LLC
- Skilled Nursing Facility
- Ayer, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- AYER VALLEY REHAB AND NURSING LLC
- Practice address
- 400 Groton Rd
Ayer, MA 01432-1171 - Phone
- (978) 772-1704
- Fax
- (978) 772-1708
- NPI assigned
- Jul 3, 2023
- Last updated
- Aug 15, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Benjamin Friedman
- Title
- Cfo
- Phone
- (845) 414-3300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
400 Groton Rd
Ayer, MA 01432-1171
Mailing address
7B Medical Park Dr
Pomona, NY 10970-3516
Phone (845) 414-3300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231030003450 | MA | Part A Provider - Skilled Nursing Facility | 7618323452 | Practice locations: Ayer, MA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1316624141. Details of each certification follow.
Skilled nursing facility certification: CCN 225421
- Legal name
- AYER VALLEY REHAB AND NURSING LLC
- Doing business as
- AYER VALLEY PROPCO
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jul 1, 1990
- Last certification
- Mar 13, 2025
- Beds
- 123
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Stem Rehab Consultants
- Most recent change of ownership
- Oct 16, 2023
- Organization structure
- LLC
- Incorporated
- May 23, 2023 in MA
- Enrollment address
- 400 Groton Rd
Ayer, MA 01432-1171 - Nursing home name
- AYER VALLEY REHAB AND NURSING
- Affiliated entity
- STERN CONSULTANTS
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Ayer Valley Rehab and Nursing
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jul 1, 1990
- Medicare certification status
- Active
- Certified beds
- 123
- Chain
- Stern Consultants
- Penalties (3 years)
- 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D0879709 | Ayer Valley Rehab and Nursing LLC | Certificate of waiver | Dec 1, 2027 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 29
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Tlco Holdings LLC | 5% Or Greater Direct Ownership Interest | Sep 1, 2023 | 20% |
| Operational/Managerial Control | Oct 16, 2023 | ||
| Adp of the SNF | Oct 16, 2023 | ||
| Adp of the SNF | Jul 6, 2025 | ||
| Trustee of the SNF | Oct 16, 2023 | ||
| Direct Ownership Interest | Oct 16, 2023 | 1.33% | |
| Indirect Ownership Interest | Oct 16, 2023 | 1.33% | |
| Boruch Sheps | 5% Or Greater Direct Ownership Interest | Oct 16, 2023 | 14.5% |
| Operational/Managerial Control | Oct 16, 2023 | ||
| Managing Control - Governing Body | Oct 16, 2023 | ||
| Adp of the SNF | Oct 16, 2023 | ||
| Avraham Erblich | 5% Or Greater Direct Ownership Interest | Sep 1, 2023 | 13.5% |
| Operational/Managerial Control | Oct 16, 2023 | 100% | |
| Managing Control - Governing Body | Oct 16, 2023 | ||
| Adp of the SNF | Oct 16, 2023 | ||
| Chaim Millman | Operational/Managerial Control | Oct 16, 2023 | |
| Managing Control - Governing Body | Oct 16, 2023 | ||
| Trustee of the SNF | Oct 16, 2023 | ||
| Adp of the SNF | Oct 16, 2023 | ||
| Indirect Ownership Interest | Oct 16, 2023 | 0.01% | |
| Adp of the SNF | Oct 16, 2023 | ||
| Direct Ownership Interest | Oct 16, 2023 | 1% | |
| Claes M Nilsson | Operational/Managerial Control | Oct 16, 2023 | |
| Managing Control - Governing Body | Oct 16, 2023 | ||
| Adp of the SNF | Oct 16, 2023 | ||
| Indirect Ownership Interest | Oct 16, 2023 | 0.67% | |
| Benjamin Friedman | Operational/Managerial Control | Oct 16, 2023 | |
| Adp of the SNF | Oct 16, 2023 | ||
| Direct Ownership Interest | Oct 16, 2023 | 3.5% | |
| Brittany Beatty | Operational/Managerial Control | Oct 16, 2023 | |
| Adp of the SNF | Oct 16, 2023 | ||
| Direct Ownership Interest | Oct 16, 2023 | 2% | |
| Etn Family Holdings LLC | 5% Or Greater Direct Ownership Interest | Sep 1, 2023 | 20% |
| Operational/Managerial Control | Oct 16, 2023 | ||
| Adp of the SNF | Oct 16, 2023 | ||
| Bezalel Stern | 5% Or Greater Direct Ownership Interest | Oct 16, 2023 | 9% |
| Adp of the SNF | Oct 16, 2023 | ||
| T Newhouse Family Trust | 5% Or Greater Indirect Ownership Interest | Oct 16, 2023 | 10.4% |
| Adp of the SNF | Oct 16, 2023 | ||
| Adp of the SNF | Oct 16, 2023 | ||
| Direct Ownership Interest | Oct 16, 2023 | 1% | |
| Ayer Valley Propco LLC | Adp of the SNF | Oct 16, 2023 | |
| Eric Newhouse | Operational/Managerial Control | Oct 16, 2023 | |
| Managing Control - Governing Body | Oct 16, 2023 | ||
| Trustee of the SNF | Oct 16, 2023 | ||
| Adp of the SNF | Oct 16, 2023 | ||
| Indirect Ownership Interest | Oct 16, 2023 | 0.01% | |
| Adp of the SNF | Jul 6, 2025 | ||
| Shana Friedman | 5% Or Greater Direct Ownership Interest | Oct 16, 2023 | 11.5% |
| Com Family Trust | 5% Or Greater Indirect Ownership Interest | Oct 16, 2023 | 10.4% |
| Adp of the SNF | Oct 16, 2023 | ||
| Andrea Plew | Operational/Managerial Control | Oct 16, 2023 | |
| Adp of the SNF | Oct 16, 2023 | ||
| Stern Therapy Consultants LLC | Operational/Managerial Control | Oct 16, 2023 | |
| Adp of the SNF | Jul 6, 2025 | ||
| Adp of the SNF | Jul 6, 2025 | ||
| TLM Family Trust | 5% Or Greater Indirect Ownership Interest | Oct 16, 2023 | 10.4% |
| Adp of the SNF | Oct 16, 2023 | ||
| Direct Ownership Interest | Oct 16, 2023 | 2% | |
| Trustee of the SNF | Oct 16, 2023 | ||
| Joshua Cambridge | Operational/Managerial Control | Oct 16, 2023 | |
| Adp of the SNF | Oct 16, 2023 | ||
| E Newhouse Family Trust | 5% Or Greater Indirect Ownership Interest | Oct 16, 2023 | 10.4% |
| Adp of the SNF | Oct 16, 2023 |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Dedham, MA
- NPI 1912006065
Adp of the SNF, Managing Control - Governing Body, Operational/Managerial Control
-
- Physical Therapist
- Monsey, NY
- NPI 1073783544
5% Or Greater Direct Ownership Interest, Adp of the SNF
Facilities with the same owner 22
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Agawam, MA
- NPI 1952088775
Com Family Trust, E Newhouse Family Trust, Stern Therapy Consultants LLC, T Newhouse Family Trust, Tlco Holdings LLC, TLM Family Trust
-
- Skilled Nursing Facility
- Agawam, MA
- NPI 1811674633
Com Family Trust, E Newhouse Family Trust, Etn Family Holdings LLC, Stern Therapy Consultants LLC, T Newhouse Family Trust, Tlco Holdings LLC, TLM Family Trust
-
- Skilled Nursing Facility
- Agawam, MA
- NPI 1639856461
Com Family Trust, E Newhouse Family Trust, Etn Family Holdings LLC, Stern Therapy Consultants LLC, T Newhouse Family Trust, Tlco Holdings LLC, TLM Family Trust
-
- Skilled Nursing Facility
- Agawam, MA
- NPI 1992482723
Com Family Trust, E Newhouse Family Trust, Etn Family Holdings LLC, Stern Therapy Consultants LLC, T Newhouse Family Trust, Tlco Holdings LLC, TLM Family Trust
-
- Skilled Nursing Facility
- North Andover, MA
- NPI 1427735257
Com Family Trust, E Newhouse Family Trust, Etn Family Holdings LLC, T Newhouse Family Trust, Tlco Holdings LLC, TLM Family Trust
-
- Skilled Nursing Facility
- Andover, MA
- NPI 1508543331
Com Family Trust, E Newhouse Family Trust, Etn Family Holdings LLC, T Newhouse Family Trust, Tlco Holdings LLC, TLM Family Trust
-
- Skilled Nursing Facility
- Carmi, IL
- NPI 1174997316
E Newhouse Family Trust, T Newhouse Family Trust
-
- Skilled Nursing Facility
- Casey, IL
- NPI 1386471886
Com Family Trust, E Newhouse Family Trust, T Newhouse Family Trust, Tlco Holdings LLC, TLM Family Trust
-
- Skilled Nursing Facility
- Charleston, IL
- NPI 1336003003
Com Family Trust, E Newhouse Family Trust, T Newhouse Family Trust, Tlco Holdings LLC
-
- Skilled Nursing Facility
- Macomb, IL
- NPI 1538996038
Com Family Trust, E Newhouse Family Trust, T Newhouse Family Trust, Tlco Holdings LLC, TLM Family Trust
-
- Skilled Nursing Facility
- Ridgway, IL
- NPI 1497268783
E Newhouse Family Trust, T Newhouse Family Trust
-
- Skilled Nursing Facility
- Greenup, IL
- NPI 1952265639
Com Family Trust, E Newhouse Family Trust, Stern Therapy Consultants LLC, T Newhouse Family Trust, Tlco Holdings LLC
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.
-
- Internal Medicine Physician
- Jamaica Plain, MA
- NPI 1497792006
-
- Internal Medicine Physician
- Cambridge, MA
- NPI 1891923199
-
- Internal Medicine Physician
- Worcester, MA
- NPI 1922362003
-
- Family Medicine Physician
- North Attleboro, MA
- NPI 1144758301
-
- Internal Medicine Physician
- Dedham, MA
- NPI 1912006065
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Boston, MA
- NPI 1801876073
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": "1688342400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692057600000",
"number": "1316624141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7B MEDICAL PARK DR",
"city": "POMONA",
"state": "NY",
"postal_code": "109703516",
"telephone_number": "845-414-3300",
"fax_number": "845-517-4796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 GROTON RD",
"city": "AYER",
"state": "MA",
"postal_code": "014321171",
"telephone_number": "978-772-1704",
"fax_number": "978-772-1708"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AYER VALLEY REHAB AND NURSING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-03",
"last_updated": "2023-08-15",
"certification_date": "2023-08-15",
"status": "A",
"authorized_official_last_name": "FRIEDMAN",
"authorized_official_first_name": "BENJAMIN",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "845-414-3300"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ayer, MA
- Ayer Integrative Therapies
- Ayer Pharmacy Inc. (Ayer Family Pharmacy)
- Ayer Pharmacy Inc. (Ayer Family Pharmacy - Long Term Care)
- Ayer Shirley Regional School District
- Ayer Valley Operating LLC
- Dawn Baird, PA-C
- Mary L Bakalos, M.D.
- Steven Charles Balser, M.D.
- Behavioral Milestones
- Marie G Bennett, FNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.