Active NPI
Wellman Healthcare Group Inc
Doing business as Palmer Healthcare Center
- Skilled Nursing Facility
- Palmer, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0137
- Legal business name
- WELLMAN HEALTHCARE GROUP INC
- Doing business as
- Palmer Healthcare Center
- Practice address
- 250 Shearer St
Palmer, MA 01069-1428 - Phone
- (413) 283-8361
- NPI assigned
- Sep 29, 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
- Mr. David M Cavalier
- Title
- Administrator/Owner
- Phone
- (413) 283-8361
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 0137 | MA | Primary |
Addresses
Primary practice location
250 Shearer St
Palmer, MA 01069-1428
Mailing address
250 Shearer St
Palmer, MA 01069-1428
Phone (413) 283-8361
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110026590A | Medicaid | MA | |
| 0926752 | Medicaid | MA |
Other names 1
- Palmer Healthcare Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030430000029 | MA | Part A Provider - Skilled Nursing Facility | 4981514718 | Practice locations: Palmer, MA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1447247127. Details of each certification follow.
Skilled nursing facility certification: CCN 225763
- Legal name
- WELLMAN HEALTHCARE GROUP INC
- Doing business as
- PALMER HEALTHCARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Feb 15, 2002
- Last certification
- Sep 26, 2024
- Beds
- 61
- Ownership / control type
- Corporation
- Organization structure
- Corporation
- Incorporated
- Oct 2, 2002 in MA
- Enrollment address
- 250 Shearer St
Palmer, MA 01069-1428 - Nursing home name
- PALMER HEALTHCARE CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Palmer Healthcare Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Feb 15, 2002
- Medicare certification status
- Active
- Certified beds
- 61
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 |
|---|---|---|---|
| 22D0877238 | Palmer Healthcare Center | Certificate of waiver | Sep 28, 2027 |
National Provider Directory
National Provider DirectoryLocations
250 Shearer St
Palmer, MA 01069
Phone (413) 283-8361
Ownership & related parties
All disclosed owners & managing parties 6
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 |
|---|---|---|---|
| Cliftonlarsonallen LLP | Adp of the SNF | Jan 1, 2024 | |
| Joshua Mintz | Operational/Managerial Control | Mar 1, 2025 | |
| Adp of the SNF | Mar 1, 2025 | ||
| Twomagnets LLC | Adp of the SNF | Jan 17, 2023 | |
| Ascentria Consulting Services Inc | Adp of the SNF | Jul 1, 2025 | |
| David Cavalier | 5% Or Greater Direct Ownership Interest | Jun 3, 2016 | 100% |
| Corporate Officer | Jun 3, 2016 | 100% | |
| Corporate Director | Jun 3, 2016 | 100% | |
| Operational/Managerial Control | Jun 3, 2016 | ||
| Adp of the SNF | Mar 1, 2004 | ||
| Direct Ownership Interest | Jun 3, 2016 | 100% | |
| Wellman Realty, LLC | Adp of the SNF | Jun 30, 2016 | |
| Indirect Ownership Interest | Jun 30, 2016 | 100% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Leeds, MA
- NPI 1083682082
Adp of the SNF, Operational/Managerial Control
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.
-
- Family Medicine Physician
- Leeds, MA
- NPI 1083682082
-
- Internal Medicine Physician
- Westfield, MA
- NPI 1619918752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127952000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1422921600000",
"number": "1447247127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 SHEARER ST",
"city": "PALMER",
"state": "MA",
"postal_code": "010691428",
"telephone_number": "413-283-8361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 SHEARER ST",
"city": "PALMER",
"state": "MA",
"postal_code": "010691428",
"telephone_number": "413-283-8361"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLMAN HEALTHCARE GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-29",
"last_updated": "2015-02-03",
"status": "A",
"authorized_official_last_name": "CAVALIER",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
"authorized_official_telephone_number": "413-283-8361",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MA",
"license": "0137",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110026590A",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0926752",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Palmer Healthcare Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Palmer, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2015; 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.