Active NPI
Geriatric Authority of Milford
- Skilled Nursing Facility
- Milford, MA
National Provider Identifier
1346236908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 883
- Legal business name
- GERIATRIC AUTHORITY OF MILFORD
- Practice address
- 1 Countryside Dr
Milford, MA 01757-1252 - Phone
- (508) 473-0435
- Fax
- (508) 473-9755
- NPI assigned
- Sep 20, 2005
- 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
- Heather Labrie
- Title
- Administrator
- Phone
- (508) 473-0435
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 883 | MA | Primary |
Addresses
Primary practice location
1 Countryside Dr
Milford, MA 01757-1252
Mailing address
1 Countryside Dr
Milford, MA 01757-1252
Phone (508) 473-0435
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0908827 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090819000655 | MA | Part A Provider - Skilled Nursing Facility | 8123172509 | Practice locations: Milford, MA |
Skilled nursing facility certification: CCN 225463
- Legal name
- GERIATRIC AUTHORITY OF MILFORD
- Doing business as
- COUNTRYSIDE HEALTH CARE OF MILFORD
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jul 1, 1990
- Last certification
- Nov 20, 2024
- Beds
- 109
- Ownership / control type
- City
- Organization structure
- Government
- Enrollment address
- 1 Countryside Dr
Milford, MA 01757-1252 - Nursing home name
- COUNTRYSIDE HEALTH CARE OF MILFORD
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Countryside Health Care of Milford
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Government - City
- Certified
- Jul 1, 1990
- Medicare certification status
- Active
- Certified beds
- 109
National Provider Directory
National Provider DirectoryLocations
1 Countryside Dr
Milford, MA 01757
Phone (508) 473-0435
Ownership & related parties
All disclosed owners & managing parties 3
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 |
|---|---|---|---|
| Cathyann Earl | W-2 Managing Employee | Dec 2, 2013 | |
| Michael Edward Isabella | W-2 Managing Employee | Apr 10, 2017 | |
| Geriatric Authority of Milford | 5% Or Greater Direct Ownership Interest | May 20, 1982 | 100% |
| Operational/Managerial Control | May 20, 1982 | 100% |
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Emergency Medicine Physician
- Fall River, MA
- NPI 1265459218
-
- Internal Medicine Physician
- Boston, MA
- NPI 1780871970
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127174400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1746576000000",
"number": "1346236908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 COUNTRYSIDE DR",
"city": "MILFORD",
"state": "MA",
"postal_code": "017571252",
"telephone_number": "508-473-0435",
"fax_number": "508-473-9755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 COUNTRYSIDE DR",
"city": "MILFORD",
"state": "MA",
"postal_code": "017571252",
"telephone_number": "508-473-0435",
"fax_number": "508-473-9755"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GERIATRIC AUTHORITY OF MILFORD",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-20",
"last_updated": "2025-05-07",
"certification_date": "2025-05-07",
"status": "A",
"authorized_official_last_name": "LABRIE",
"authorized_official_first_name": "HEATHER",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "508-473-0435"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MA",
"license": "883",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0908827",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Milford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; 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.