NPIMap

Organization Active NPI

Visiting Rehab and Nursing Services Inc

  • Home Health Agency
  • Mansfield, MA
National Provider Identifier
1396101861
Registry record updated Jan 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
VISITING REHAB AND NURSING SERVICES INC
Practice address
125 High St
Ste 204
Mansfield, MA 02048-2165
Phone
(508) 272-0037
NPI assigned
Jan 13, 2016
Last updated
Jan 13, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2016

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

Authorized official

Name
Gregory StelmachNPI 1568671279
Title
President
Phone
(508) 272-0037

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

125 High St
Ste 204
Mansfield, MA 02048-2165

Mailing address

125 High St
Ste 204
Mansfield, MA 02048-2165
Phone (508) 272-0037

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160216002253 MA Part A Provider - Home Health Agency 3577868314 Practice locations: Mansfield, MA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1396101861. Details of each certification follow.

Home health agency certification: CCN 227555

Legal name
VISITING REHAB AND NURSING SERVICES INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 4, 2012
Last certification
Oct 4, 2012
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jan 8, 2016 in MA
Enrollment address
125 High St
Ste 204
Mansfield, MA 02048-2165
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Visiting Rehab and Nursing ServicesCCN 227555 · All quality measures
Overall star rating
1.5 of 5
Ownership
Proprietary
Certified
Oct 4, 2012
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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
22D2018039Visiting Rehab and Nursing Services125 High St, Mansfield, MA 02048Certificate of waiverJul 26, 2026

National Provider Directory

National Provider Directory
Tax ID family
Home Again Health Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
John S Pizzolato Individual 5% Or Greater Direct Ownership Interest Jan 21, 2016 40%
Corporate DirectorVice President, Owner, Alternate Jan 21, 2016 40%
W-2 Managing EmployeeVice President, Owner, Alternate Jan 21, 2016 40%
Operational/Managerial ControlVice President, Owner, Alternate Jan 21, 2016 40%
Gregory M Stelmach Individual 5% Or Greater Direct Ownership Interest Jan 21, 2016 60%
Corporate DirectorPresident, Owner, Administrator Jan 21, 2016 60%
W-2 Managing EmployeePresident, Owner, Administrator Jan 21, 2016 60%
Operational/Managerial ControlPresident, Owner, Administrator Jan 21, 2016 60%

Change-of-ownership history 1

DateEventCounterparty
Jan 21, 2016 Change of OwnershipThis provider was the buyer Home Again Health Care, LLCCCN 227555, MA, NPI 1104135805

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Practitioners 2

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 10

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": "1452643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452643200000",
    "number": "1396101861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 HIGH ST",
            "address_2": "STE 204",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020482165",
            "telephone_number": "508-272-0037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 HIGH ST",
            "address_2": "STE 204",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020482165",
            "telephone_number": "508-272-0037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISITING REHAB AND NURSING SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-13",
        "last_updated": "2016-01-13",
        "status": "A",
        "authorized_official_last_name": "STELMACH",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-272-0037"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, MA

Sources for this page

Verify at the official NPI Registry.