NPIMap

Organization Active NPI

Bane Hancock Park, LLC

Doing business as Hancock Park Rehabilitation and Nursing Center

  • Skilled Nursing Facility
  • Quincy, MA
National Provider Identifier
1447614243
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
BANE HANCOCK PARK, LLC
Doing business as
Hancock Park Rehabilitation and Nursing Center
Practice address
164 Parkingway
Quincy, MA 02169-5020
Phone
(617) 773-4222
Fax
(617) 773-1115
NPI assigned
Apr 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Authorized official

Name
Mr. Richard C Bane
Title
President
Phone
(781) 474-2263

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

164 Parkingway
Quincy, MA 02169-5020

Mailing address

350 Granite St Ste 2203
Braintree, MA 02184-4963
Phone (781) 474-2263

Other identifiers 2

IdentifierTypeStateIssuer
700122222571801OtherMABLUE CROSS
110119795AMedicaidMA

Other names 1

  • Hancock Park Rehabilitation and Nursing Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161109000479 MA Part A Provider - Skilled Nursing Facility 0446539746 Practice locations: Quincy, MA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1447614243. Details of each certification follow.

Skilled nursing facility certification: CCN 225718

Legal name
BANE HANCOCK PARK LLC
Doing business as
HANCOCK PARK REHABILITATION AND NURSING CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 13, 1996
Last certification
Oct 4, 2024
Beds
142
Ownership / control type
Corporation
Organization structure
LLCProprietary
Incorporated
Dec 24, 2015 in MA
Enrollment address
164 Parkingway
Quincy, MA 02169-5020
Nursing home name
HANCOCK PARK REHABILIATION AND NURSING CENTER
Affiliated entity
BANECARE MANAGEMENT

Care Compare: Nursing home

Medicare Care Compare
Listed as
Hancock Park Rehabiliation and Nursing CenterCCN 225718 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Nov 13, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
142127.3 residents per day on average
Chain
Banecare Management7 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Bane Hancock Park LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Marie Faria Individual W-2 Managing EmployeeManager Jan 28, 2022
Morris Health Management LLC Organization, Braintree, MA LLC 5% Or Greater Direct Ownership Interest Jan 28, 2022 100%
Kevin P Morris Individual Corporate OfficerPresident Jan 28, 2022
Bane Care Management LLC Organization, Braintree, MA For-profit Operational/Managerial Control Oct 1, 2016

Facilities with the same owner 6

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 4

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 5

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": "1459987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643155200000",
    "number": "1447614243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 GRANITE ST STE 2203",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021844963",
            "telephone_number": "781-474-2263",
            "fax_number": "781-878-9807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 PARKINGWAY",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021695020",
            "telephone_number": "617-773-4222",
            "fax_number": "617-773-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANE HANCOCK PARK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-07",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A",
        "authorized_official_last_name": "BANE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-474-2263",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "700122222571801",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110119795A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hancock Park Rehabilitation and Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hancock Park Rehabilitation and Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Quincy, MA

Sources for this page

Verify at the official NPI Registry.