Organization Active NPI

Sunny Acres Nursing Home, Inc.

  • Skilled Nursing Facility
  • Chelmsford, MA
National Provider Identifier
1487659926
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0170 Issued in MA
Legal business name
SUNNY ACRES NURSING HOME, INC.
Practice address
254 Billerica Rd
Chelmsford, MA 01824-4114
Phone
(978) 256-0231
Fax
(978) 250-5858
NPI assigned
Jun 20, 2005
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
Shirley D Freitas, R.N, B.S.N., M.S
Title
President/Administrator
Phone
(978) 256-0231

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0170 MA Primary

Addresses

Primary practice location

254 Billerica Rd
Chelmsford, MA 01824-4114

Mailing address

254 Billerica Rd
Chelmsford, MA 01824-4114
Phone (978) 256-0231

Other identifiers 5

IdentifierTypeStateIssuer
S00085194OtherMATUFTS SECURE HORIZONS
0998443MedicaidMA
2222549401OtherMABLUE CROSS/BLUE SHIELD
7100153OtherEVERCARE
903271OtherMAHARVARD PILGRIM HEALTH

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
22D0884530Sunny Acres Nursing Home254 Billerica Road, Chelmsford, MA 01824Certificate of waiverApr 3, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487659926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 BILLERICA RD",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018244114",
            "telephone_number": "978-256-0231",
            "fax_number": "978-250-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 BILLERICA RD",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018244114",
            "telephone_number": "978-256-0231",
            "fax_number": "978-250-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNY ACRES NURSING HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FREITAS",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT/ADMINISTRATOR",
        "authorized_official_telephone_number": "978-256-0231",
        "authorized_official_credential": "R.N, B.S.N., M.S"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "0170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS SECURE HORIZONS",
            "identifier": "S00085194",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0998443",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "2222549401",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE",
            "identifier": "7100153",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTH",
            "identifier": "903271",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelmsford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.