Copley Health Care Partnership

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0977 Issued in MA

Legal business name

COPLEY HEALTH CARE PARTNERSHIP

Doing business as

copley at stoughton nursing care center

Practice address

380 Sumner St
Stoughton, MA 02072

Phone

(781) 341-2300

NPI assigned

Sep 29, 2005

Last updated

Jun 14, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Steven Tyer

Title

Administrator

Phone

(781) 341-2300

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• copley at stoughton nursing care center Doing business as

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1508853177. Details of each certification follow.

• CCN 225653 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 225653

Legal name

COPLEY HEALTH CARE PARTNERSHIP

Doing business as

COPLEY AT STOUGHTON

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Nov 15, 1994

Last certification

Oct 8, 2024

Beds

123

Ownership / control type

Partnership

Organization structure

PartnershipProprietary

Enrollment address

380 Sumner St
Stoughton, MA 02072-3470

Nursing home name

COPLEY AT STOUGHTON NURSING CARE CENTER

Listed as

Copley at Stoughton Nursing Care CenterCCN 225653 · All quality measures

Overall star rating

5 of 5

Health inspections

3 of 5

Staffing

5 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Partnership

Certified

Nov 15, 1994

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

12394.8 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Tax ID family

Copley at Stoughton2 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.

• Copley at Stoughton

  • Skilled Nursing Facility
  • Stoughton, MA
  • NPI 1457420697
  NPD tax ID

Locations

All disclosed owners & managing parties 5

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

Owners & managing parties with NPI records 1

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

• Maria B Connor, MD

  • Internal Medicine Physician
  • Braintree, MA
  • NPI 1144252248

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Practitioners 5

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.

• Maria B Connor, MD

  • Internal Medicine Physician
  • Braintree, MA
  • NPI 1144252248
  NPD (past)
• Fabian Delgado, MD

  • Internal Medicine Physician
  • Fall River, MA
  • NPI 1629277454
  NPD (past)
• Trinley Gongya, MD

  • Family Medicine Physician
  • Brockton, MA
  • NPI 1487149530
  NPD (past)
• Suprav Mishra, M.D.

  • Internal Medicine Physician
  • Dorchester, MA
  • NPI 1497010748
  NPD (past)
• Philippe Vuylsteke, MD

  • Family Medicine Physician
  • Brockton, MA
  • NPI 1679587356
  NPD (past)

Affiliated clinicians 5

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Maria B Connor, MD

  • Internal Medicine Physician
  • Braintree, MA
  • NPI 1144252248

  Nursing home

  Care Compare affiliation
• Fabian Delgado, MD

  • Internal Medicine Physician
  • Fall River, MA
  • NPI 1629277454

  Nursing home

  Care Compare affiliation
• Trinley Gongya, MD

  • Family Medicine Physician
  • Brockton, MA
  • NPI 1487149530

  Nursing home

  Care Compare affiliation
• Suprav Mishra, M.D.

  • Internal Medicine Physician
  • Dorchester, MA
  • NPI 1497010748

  Nursing home

  Care Compare affiliation
• Philippe Vuylsteke, MD

  • Family Medicine Physician
  • Brockton, MA
  • NPI 1679587356

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528934400000",
    "number": "1508853177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 SUMNER ST",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020723430",
            "telephone_number": "781-341-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 SUMNER ST",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "02072",
            "telephone_number": "781-341-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPLEY HEALTH CARE PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-29",
        "last_updated": "2018-06-14",
        "status": "A",
        "authorized_official_last_name": "TYER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "781-341-2300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "0977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0921955",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "copley at stoughton nursing care center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "copley at stoughton nursing care center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John M Connolly, M.D.
• Mary Connors
• Consistent Healthcare, LLC
• Daniel S Cook, MD
• Copley at Stoughton
• Lindsey Marie Coppola, RN
• Brian Cordeiro
• Cornerstone Caregiving East LLC (Cornerstone Caregiving)
• Anne C Corsino Da Silva
• Julia Emily Costa

• Skilled Nursing Facility in Stoughton, MA
• Providers in Stoughton, MA by specialty
• Skilled Nursing Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2018; 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.

Verify at the official NPI Registry.