NPIMap

Organization Active NPI

137 Nichols St., Inc.

Doing business as Victoria Haven Nursing Facility

  • Skilled Nursing Facility
  • Norwood, MA
National Provider Identifier
1326109141
Registry record updated Dec 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0407 Issued in MA
Legal business name
137 NICHOLS ST., INC.
Doing business as
Victoria Haven Nursing Facility
Practice address
137 Nichols St
Norwood, MA 02062-2009
Phone
(781) 762-0858
Fax
(761) 762-4114
NPI assigned
Dec 13, 2006
Last updated
Dec 16, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2011

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

Authorized official

Name
Peter H Thisse
Title
Controller
Phone
(781) 762-0703

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0407 MA Primary

Addresses

Primary practice location

137 Nichols St
Norwood, MA 02062-2009

Mailing address

80 Access Rd
Norwood, MA 02062-5237
Phone (781) 762-0703

Other identifiers 1

IdentifierTypeStateIssuer
0915629MedicaidMA

Other names 1

  • Victoria Haven Nursing Facility Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041008000486 MA Part A Provider - Skilled Nursing Facility 1951360551 Practice locations: Norwood, MA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1326109141. Details of each certification follow.

Skilled nursing facility certification: CCN 225608

Legal name
137 NICHOLS ST INC
Doing business as
VICTORIA HAVEN NURSING FACILITY
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 1, 1994
Last certification
Feb 18, 2025
Beds
31
Ownership / control type
Corporation
Organization structure
CorporationProprietary
Enrollment address
137 Nichols St
Norwood, MA 02062-2009
Nursing home name
VICTORIA HAVEN NURSING FACILITY
Affiliated entity
REHABILITATION ASSOCIATES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Victoria Haven Nursing FacilityCCN 225608 · All quality measures
Overall star rating
2 of 5
Health inspections
1 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Mar 1, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
3125.7 residents per day on average
Chain
Rehabilitation Associates6 facilities in the chain
Penalties (3 years)
1Fines totaling $40,641

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
22D0880477Victoria Haven Nursing Facility137 Nichols St, Norwood, MA 02062Certificate of waiverDec 15, 2027

National Provider Directory

National Provider Directory

Locations

137 Nichols St
Norwood, MA 02062
Phone (781) 762-0703

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Marion Thisse Individual 5% Or Greater Direct Ownership InterestOwner Mar 14, 2024 100%
Peter H Thisse Individual Corporate OfficerController Jan 3, 1990
Gilbert Thisse Individual Operational/Managerial Control Jan 6, 2025
Rehabilitation Associates Inc Organization, Norwood, MA Corporation, Management services company Operational/Managerial Control Feb 1, 1985 100%

Owners & managing parties with NPI records 1

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

Facilities with the same owner 5

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

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": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323993600000",
    "number": "1326109141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 ACCESS RD",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020625237",
            "telephone_number": "781-762-0703",
            "fax_number": "781-762-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 NICHOLS ST",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020622009",
            "telephone_number": "781-762-0858",
            "fax_number": "761-762-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "137 NICHOLS ST., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2011-12-16",
        "status": "A",
        "authorized_official_last_name": "THISSE",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "781-762-0703"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "0407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0915629",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Victoria Haven Nursing Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norwood, MA

Sources for this page

Verify at the official NPI Registry.