Organization Active NPI

Sherrill House, Inc

  • Skilled Nursing Facility
  • Boston, MA
National Provider Identifier
1356496947
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0742 Issued in MA
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0905992MedicaidMA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationNon-profit
Nursing home name
SHERRILL HOUSE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Sherrill HouseCCN 225201 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Mar 12, 1971
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
196162.5 residents per day on average
Penalties (3 years)
1Fines totaling $35,860

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
22D0075621Sherrill House Inc135 South Huntington Avenue, Jamaica Plain, MA 02130Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Member 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.

NameRoleSinceShare
William Steul Individual Corporate DirectorTrustee Jan 1, 2025
Trustee of the SNF Jan 1, 2025
Cliftonlarsonallen LLP Organization, Minneapolis, MN Adp of the SNF Jan 1, 1985
Adam J Fumia Individual Operational/Managerial Control Aug 12, 2002
Adp of the SNF Aug 12, 2002
Grace Clark Individual Corporate DirectorTrustee Jan 1, 2025
Trustee of the SNF Jan 1, 2025
Cheryl Whitfield Individual Corporate DirectorTrustee Jan 1, 2025
Trustee of the SNF Jan 1, 2025
Alessio Miniello Individual Operational/Managerial Control Apr 18, 2022
Adp of the SNF Apr 18, 2022
Thomas Kennedy Individual Corporate OfficerChairman of Board and Trustee Jan 1, 2025
Trustee of the SNF Jan 1, 2025
Jeffrey Ventura Individual Operational/Managerial Control Mar 27, 2023
Adp of the SNF Mar 27, 2023
Morgan Allen Individual Corporate DirectorTrustee Jan 1, 2025
Trustee of the SNF Jan 1, 2025
Richard Benka Individual Corporate DirectorTrustee Jan 1, 2025
Trustee of the SNF Jan 1, 2025
David Kirchner Individual Corporate OfficerVice Preseident and Trustee Jan 1, 2025
Trustee of the SNF Jan 1, 2025
Michael McGrath Individual Operational/Managerial Control Nov 1, 1995
Joao Santos Individual Adp of the SNF Jan 31, 2022
Barbara Bauman Individual Corporate OfficerVice President and Trustee Jan 1, 2025
Trustee of the SNF Jan 1, 2025
Bethany Allen Individual Operational/Managerial Control Jun 6, 2022
Dedham Institution for Savings Organization, Dedham, MA Financial institution 5% Or Greater Security Interest May 20, 2024 28%
Jane M. Flanagan Individual Corporate DirectorTrustee Jan 1, 2025
Trustee of the SNF Jan 1, 2025
Evgenia Forman Individual Operational/Managerial Control Jul 1, 2009
Adp of the SNF Jul 1, 2009
Isaac Lederman Individual Corporate DirectorTrustee Jan 1, 2025
Trustee of the SNF Jan 1, 2025
Frederica See Individual Corporate OfficerTreasurer and Trustee Jan 1, 2025
Trustee of the SNF Jan 1, 2025
Allene Russell Pierson Individual Corporate DirectorTrustee Jan 1, 2025
Trustee of the SNF Jan 1, 2025
Leah Lopes Individual Operational/Managerial Control Mar 21, 2005
Adp of the SNF Mar 21, 2005
Patrick J. Stapleton Individual Corporate OfficerPresident and Ceo 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 Individual Corporate DirectorTrustee Jan 1, 2025
Trustee of the SNF Jan 1, 2025
Angella Gill-Lee Individual Operational/Managerial Control Feb 28, 2022
Mark Morrow Individual Corporate DirectorTrustee Jan 1, 2025
Trustee of the SNF Jan 1, 2025
Mark Altenweg Individual Operational/Managerial Control Feb 21, 2022
Adp of the SNF Feb 21, 2022
Lorene Begley Individual Operational/Managerial Control Oct 28, 2013
Adp of the SNF Oct 28, 2013
Listo Fisher Individual Corporate OfficerClerk and Trustee Jan 1, 2025
Trustee of the SNF Jan 1, 2025
Pauline Haddad Individual Corporate DirectorTrustee 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.

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.

Affiliated clinicians 8

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": "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

Verify at the official NPI Registry.