Active NPI
Sherrill House, Inc
- Skilled Nursing Facility
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0742
- Legal business name
- SHERRILL HOUSE, INC
- Practice address
- 135 S Huntington Ave
Boston, MA 02130-4885 - Phone
- (617) 731-2400
- Fax
- (617) 735-1781
- NPI assigned
- Jan 24, 2007
- 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
- Mr. Robert W Martin
- Title
- Chief Financial Officer
- Phone
- (617) 731-2400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 0742 | MA | Primary |
Addresses
Primary practice location
135 S Huntington Ave
Boston, MA 02130-4885
Mailing address
135 S Huntington Ave
Jamaica Plain, MA 02130-4885
Phone (617) 731-2400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0905992 | 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 |
|---|---|---|---|---|
| O20041203000771 | MA | Part A Provider - Skilled Nursing Facility | 1951367614 | Practice locations: Boston, MA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1356496947. Details of each certification follow.
Skilled nursing facility certification: CCN 225201
- Legal name
- SHERRILL HOUSE, INC
- Doing business as
- CLA
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Mar 12, 1971
- Last certification
- Jan 16, 2025
- Beds
- 196
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Nursing home name
- SHERRILL HOUSE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Sherrill House
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Mar 12, 1971
- Medicare certification status
- Active
- Certified beds
- 196
- Penalties (3 years)
- 1
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 |
|---|---|---|---|
| 22D0075621 | Sherrill House Inc | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
Ownership & related parties
All disclosed owners & managing parties 30
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 |
|---|---|---|---|
| William Steul | Corporate Director | Jan 1, 2025 | |
| Trustee of the SNF | Jan 1, 2025 | ||
| Cliftonlarsonallen LLP | Adp of the SNF | Jan 1, 1985 | |
| Adam J Fumia | Operational/Managerial Control | Aug 12, 2002 | |
| Adp of the SNF | Aug 12, 2002 | ||
| Grace Clark | Corporate Director | Jan 1, 2025 | |
| Trustee of the SNF | Jan 1, 2025 | ||
| Cheryl Whitfield | Corporate Director | Jan 1, 2025 | |
| Trustee of the SNF | Jan 1, 2025 | ||
| Alessio Miniello | Operational/Managerial Control | Apr 18, 2022 | |
| Adp of the SNF | Apr 18, 2022 | ||
| Thomas Kennedy | Corporate Officer | Jan 1, 2025 | |
| Trustee of the SNF | Jan 1, 2025 | ||
| Jeffrey Ventura | Operational/Managerial Control | Mar 27, 2023 | |
| Adp of the SNF | Mar 27, 2023 | ||
| Morgan Allen | Corporate Director | Jan 1, 2025 | |
| Trustee of the SNF | Jan 1, 2025 | ||
| Richard Benka | Corporate Director | Jan 1, 2025 | |
| Trustee of the SNF | Jan 1, 2025 | ||
| David Kirchner | Corporate Officer | Jan 1, 2025 | |
| Trustee of the SNF | Jan 1, 2025 | ||
| Michael McGrath | Operational/Managerial Control | Nov 1, 1995 | |
| Joao Santos | Adp of the SNF | Jan 31, 2022 | |
| Barbara Bauman | Corporate Officer | Jan 1, 2025 | |
| Trustee of the SNF | Jan 1, 2025 | ||
| Bethany Allen | Operational/Managerial Control | Jun 6, 2022 | |
| Dedham Institution for Savings | 5% Or Greater Security Interest | May 20, 2024 | 28% |
| Jane M. Flanagan | Corporate Director | Jan 1, 2025 | |
| Trustee of the SNF | Jan 1, 2025 | ||
| Evgenia Forman | Operational/Managerial Control | Jul 1, 2009 | |
| Adp of the SNF | Jul 1, 2009 | ||
| Isaac Lederman | Corporate Director | Jan 1, 2025 | |
| Trustee of the SNF | Jan 1, 2025 | ||
| Frederica See | Corporate Officer | Jan 1, 2025 | |
| Trustee of the SNF | Jan 1, 2025 | ||
| Allene Russell Pierson | Corporate Director | Jan 1, 2025 | |
| Trustee of the SNF | Jan 1, 2025 | ||
| Leah Lopes | Operational/Managerial Control | Mar 21, 2005 | |
| Adp of the SNF | Mar 21, 2005 | ||
| Patrick J. Stapleton | Corporate Officer | Jan 1, 2025 | |
| Corporate Director | Jan 1, 2025 | ||
| Operational/Managerial Control | Dec 1, 2003 | ||
| Trustee of the SNF | Jan 1, 2025 | ||
| Adp of the SNF | Dec 1, 2003 | ||
| Paul Zinti | Corporate Director | Jan 1, 2025 | |
| Trustee of the SNF | Jan 1, 2025 | ||
| Angella Gill-Lee | Operational/Managerial Control | Feb 28, 2022 | |
| Mark Morrow | Corporate Director | Jan 1, 2025 | |
| Trustee of the SNF | Jan 1, 2025 | ||
| Mark Altenweg | Operational/Managerial Control | Feb 21, 2022 | |
| Adp of the SNF | Feb 21, 2022 | ||
| Lorene Begley | Operational/Managerial Control | Oct 28, 2013 | |
| Adp of the SNF | Oct 28, 2013 | ||
| Listo Fisher | Corporate Officer | Jan 1, 2025 | |
| Trustee of the SNF | Jan 1, 2025 | ||
| Pauline Haddad | Corporate Director | Jan 1, 2025 | |
| Trustee of the SNF | Jan 1, 2025 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Geriatric Medicine (Internal Medicine) Physician
- Dorchester Center, MA
- NPI 1215042361
Adp of the SNF, Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 8
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
- Worcester, MA
- NPI 1083763890
-
- Internal Medicine Physician
- Stoughton, MA
- NPI 1932528924
-
- Internal Medicine Physician
- Boston, MA
- NPI 1316931355
-
- Geriatric Medicine (Internal Medicine) Physician
- Brookline, MA
- NPI 1225075542
-
- Geriatric Medicine (Internal Medicine) Physician
- Dorchester Center, MA
- NPI 1215042361
-
- Internal Medicine Physician
- Dedham, MA
- NPI 1912006065
-
- Internal Medicine Physician
- Brockton, MA
- NPI 1265414577
-
- Geriatric Medicine (Internal Medicine) Physician
- Boston, MA
- NPI 1902163496
Affiliated clinicians 8
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Brookline, MA
- NPI 1225075542
Nursing home
-
- Geriatric Medicine (Internal Medicine) Physician
- Dorchester Center, MA
- NPI 1215042361
Nursing home
-
- Geriatric Medicine (Internal Medicine) Physician
- Boston, MA
- NPI 1902163496
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1356496947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 S HUNTINGTON AVE",
"city": "JAMAICA PLAIN",
"state": "MA",
"postal_code": "021304885",
"telephone_number": "617-731-2400",
"fax_number": "617-735-1781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 S HUNTINGTON AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "021304885",
"telephone_number": "617-731-2400",
"fax_number": "617-735-1781"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHERRILL HOUSE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-24",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MARTIN",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "617-731-2400",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MA",
"license": "0742",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0905992",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.