NPIMap

Organization Active NPI

Willowood of Williamstown, Inc.

  • Skilled Nursing Facility
  • Williamstown, MA
National Provider Identifier
1477637270
Registry record updated Mar 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0022 Issued in MA
Legal business name
WILLOWOOD OF WILLIAMSTOWN, INC.
Practice address
25 Adams Rd
Williamstown, MA 01267-2928
Phone
(413) 458-2111
Fax
(413) 458-3156
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2012

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

Authorized official

Name
Mr. William C Jones
Title
President
Phone
(413) 447-2996

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0022 MA Primary

Addresses

Primary practice location

25 Adams Rd
Williamstown, MA 01267-2928

Mailing address

25 Adams Rd
Williamstown, MA 01267-2928
Phone (413) 458-2111

Other identifiers 4

IdentifierTypeStateIssuer
01120218MedicaidNY
00945804MedicaidNY
0930245MedicaidMA
0925691MedicaidMA

Other names 1

  • Williamstown Commons Nursing & Rehabilitation Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120209000025 MA Part A Provider - Skilled Nursing Facility 6204093842 Practice locations: Williamstown, MA

Skilled nursing facility certification: CCN 225341

Legal name
WILLOWOOD OF WILLIAMSTOWN, INC.
Doing business as
WILLIAMSTOWN COMMONS NURSING AND REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 17, 1989
Last certification
Dec 6, 2024
Beds
180
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Integritus Healthcare
Organization structure
CorporationNon-profit
Enrollment address
25 Adams Rd
Williamstown, MA 01267-2928
Nursing home name
WILLIAMSTOWN COMMONS NURSING & REHAB
Affiliated entity
INTEGRITUS HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Williamstown Commons Nursing & RehabCCN 225341
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Feb 17, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
180135.3 residents per day on average
Chain
Integritus Healthcare14 facilities in the chain

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
22D0068318Williamstown Commons25 Adams Road, Williamstown, MA 01267Certificate of waiverJul 21, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Gabriel Naventi Individual Operational/Managerial Control Feb 1, 2022
Adp of the SNF Feb 1, 2022
Integritus Healthcare Management Services Inc Organization, Pittsfield, MA Non-profit, Chain home office, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 1, 2022 100%
Operational/Managerial Control Feb 1, 2022
Adp of the SNF Mar 6, 2025
Marcie Jo Gingras Individual Corporate OfficerClerk Dec 13, 2021
Adp of the SNF Feb 1, 2022
Alexander Fox Individual Operational/Managerial Control Jul 1, 2024
Adp of the SNF Jul 1, 2024
Integritus Healthcare Inc Organization, Pittsfield, MA Non-profit 5% Or Greater Indirect Ownership Interest Feb 1, 2000 100%
5% Or Greater Security Interest Feb 1, 2022 15.49%
Willowood Extended Care Services Inc Organization, Pittsfield, MA Non-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Feb 1, 2000 100%
Operational/Managerial Control Feb 1, 2022
Adp of the SNF Mar 6, 2025
William C Jones Individual Corporate OfficerPresident, Board Member Feb 1, 1993
Adp of the SNF Feb 1, 2022

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 17

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

View all 17

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 3

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": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332288000000",
    "number": "1477637270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 ADAMS RD",
            "city": "WILLIAMSTOWN",
            "state": "MA",
            "postal_code": "012672928",
            "telephone_number": "413-458-2111",
            "fax_number": "413-458-3156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 ADAMS RD",
            "city": "WILLIAMSTOWN",
            "state": "MA",
            "postal_code": "012672928",
            "telephone_number": "413-458-2111",
            "fax_number": "413-458-3156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOWOOD OF WILLIAMSTOWN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2012-03-21",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "413-447-2996",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "0022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01120218",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00945804",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0930245",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0925691",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Williamstown Commons Nursing & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Williamstown, MA

Sources for this page

Verify at the official NPI Registry.