Organization Active NPI

Deutsches Altenheim Inc.

Doing business as Edelweiss Village

  • Skilled Nursing Facility
  • West Roxbury, MA
National Provider Identifier
1528062387
Registry record updated Sep 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0740 Issued in MA
Legal business name
DEUTSCHES ALTENHEIM INC.
Doing business as
Edelweiss Village
German Centre for Extended Care
Senior Place Adult Day Health
Practice address
2222 Centre St
West Roxbury, MA 02132-4034
Phone
(617) 325-1230
Fax
(617) 323-7523
NPI assigned
Jun 9, 2005
Last updated
Sep 4, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2019

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

Authorized official

Name
Mr. Michael B Lincoln
Title
Ceo
Phone
(617) 325-1230

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X MA
Hearing and Speech Clinic/Center 261QH0700X NU
Physical Therapy Clinic/Center 261QP2000X NU
Occupational Medicine Clinic/Center 261QX0100X NU
Assisted Living Facility 310400000X NU
Skilled Nursing Facility 314000000X 0740 MA Primary

Addresses

Primary practice location

2222 Centre St
West Roxbury, MA 02132-4034

Mailing address

2222 Centre St
West Roxbury, MA 02132-4034
Phone (617) 325-1230

Other identifiers 6

IdentifierTypeStateIssuer
7100048OtherMAEVERCARE
2222554001OtherMABLUC CROSS
903196OtherMAHARVARD PILGRIM
980667OtherMATUFTS
0908908MedicaidMA
2222554010OtherMABLUE CROSS OUT PATIENT

Other names 3

  • Edelweiss Village Doing business as
  • German Centre for Extended Care Doing business as
  • Senior Place Adult Day Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110812000300 MA Part A Provider - Skilled Nursing Facility 5092984807 Practice locations: West Roxbury, MA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1528062387. Details of each certification follow.

Skilled nursing facility certification: CCN 225540

Legal name
DEUTSCHES ALTENHEIM INC
Doing business as
GERMAN CENTRE FOR EXTENDED CARE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 2, 1992
Last certification
Aug 30, 2024
Beds
133
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Enrollment address
2222 Centre St
West Roxbury, MA 02132-4034
Nursing home name
GERMAN CENTER FOR EXTENDED CARE
Affiliated entity
CHELSEA JEWISH LIFECARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
German Center for Extended CareCCN 225540 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Feb 2, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
133130.8 residents per day on average
Chain
Chelsea Jewish Lifecare5 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
22D0861305Deutsches Altenheim Inc2222 Centre Street, West Roxbury, MA 02132Certificate of waiverAug 31, 2026
22D2208362Edelweiss Village2222 Centre Street, West Roxbury, MA 02132Certificate of waiverJan 5, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 31

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

NameRoleSinceShare
Babacar Diop Individual Corporate OfficerCeo Sep 21, 2022
Operational/Managerial Control Sep 1, 2022
Adp of the SNF Sep 1, 2022
Dorreth Chambers Individual Operational/Managerial Control Jan 19, 2021
Marie Schwartz Individual Corporate Director Sep 1, 2018 5%
Operational/Managerial Control Sep 1, 2018
Lars Heise Individual Corporate Director Nov 1, 2023 5%
Operational/Managerial Control Oct 1, 2023
Douglas Benton Individual Operational/Managerial Control Feb 22, 2022
Adp of the SNF Feb 22, 2022
Hans H Toegel Individual Corporate Director Oct 1, 2017 5%
Operational/Managerial Control Oct 1, 2017
Heidi Barenthaler Individual Corporate Director Jul 24, 2024 5%
Operational/Managerial Control Jul 21, 2024
Angela Cadasse Individual Operational/Managerial Control Nov 7, 2022
Adp of the SNF Nov 7, 2022
Jennifer Santerre Individual Operational/Managerial Control Jul 1, 2022
Adp of the SNF Jul 1, 2021
U Barbara Bridge Individual Corporate Director Oct 1, 1980 5%
Operational/Managerial Control Oct 1, 1980
Julius Lwomwa Individual Operational/Managerial Control Dec 17, 2024
Adp of the SNF Dec 17, 2024
Baker Tilly US LLP Organization, Madison, WI LLC Operational/Managerial Control Feb 5, 2025
Trustee of the SNF Feb 5, 2025
Adp of the SNF May 22, 2025
Justin Pineiro Individual Operational/Managerial Control Jul 13, 2015
Adp of the SNF Jul 13, 2015
Adrian Pieleanu Individual Operational/Managerial Control Dec 13, 2021
Adp of the SNF Dec 13, 2021
Philipp Von Rosenstiel Individual Corporate Director Jan 25, 2017 5%
Operational/Managerial Control Jan 25, 2017
Roswitha T Stehling Individual Corporate Director Oct 1, 2018 5%
Operational/Managerial Control Oct 1, 2018
Carol Soeldner Individual Corporate Director Oct 1, 1996
Operational/Managerial Control Oct 1, 1996
Legacy Lifecare Inc Organization, Peabody, MA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Sep 8, 2020 100%
Adp of the SNF May 22, 2025
Hans P Birle Individual Corporate OfficerVice President Oct 1, 1995 5%
Corporate Director Oct 1, 1995
Operational/Managerial Control Oct 1, 1995
Adam S Berman Individual Corporate Director Apr 1, 2021 5%
Operational/Managerial Control Apr 1, 2021
Genevieve Maclellan Individual Corporate OfficerPresident Oct 1, 2013
Corporate Director Oct 1, 2008 5%
Operational/Managerial Control Oct 1, 2008
Heinz R Brinkhaus Individual Corporate Director Oct 1, 1998 5%
Operational/Managerial Control Oct 1, 1998
Chelsea Jewish Lifecare Inc Organization, Chelsea, MA Corporation, Non-profit Operational/Managerial Control Sep 8, 2020
Adp of the SNF May 22, 2025
Baker Tilly Advisory Group LP Organization, Madison, WI Operational/Managerial Control Feb 19, 2025
Trustee of the SNF Feb 19, 2025
Adp of the SNF May 22, 2025
Heinz W Brinkhaus Individual Corporate DirectorTreasurer Oct 1, 1976 5%
Operational/Managerial Control Oct 1, 1976
Armin Grueneich Individual Corporate Director Nov 1, 2023 5%
Operational/Managerial Control Nov 1, 2023
Charles a Von Stackelberg Individual Corporate OfficerSecretary Oct 22, 2014
Corporate Director Oct 22, 2014 5%
Operational/Managerial Control Oct 22, 2014
Erik Dilger Individual Corporate Director Nov 1, 2023 5%
Operational/Managerial Control Nov 1, 2023
Dirk M Hentschel Individual Corporate Director Jan 25, 2017 5%
Operational/Managerial Control Jan 25, 2017
Jennifer Linehan Individual Operational/Managerial Control Jul 2, 2024
Adp of the SNF Jul 2, 2024
John Carberry Individual Corporate Director Oct 1, 2009 5%
Operational/Managerial Control Oct 1, 2009

Owners & managing parties with NPI records 2

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

Facilities with the same owner 14

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

View all 14

Practitioners & affiliated clinicians

Practitioners 3

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 2

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": "1118275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567555200000",
    "number": "1528062387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 CENTRE ST",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021324034",
            "telephone_number": "617-325-1230",
            "fax_number": "617-323-7523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 CENTRE ST",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021324034",
            "telephone_number": "617-325-1230",
            "fax_number": "617-323-7523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEUTSCHES ALTENHEIM INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-09",
        "last_updated": "2019-09-04",
        "status": "A",
        "authorized_official_last_name": "LINCOLN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "617-325-1230",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MA",
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "0740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE",
            "identifier": "7100048",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUC CROSS",
            "identifier": "2222554001",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "903196",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "980667",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0908908",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OUT PATIENT",
            "identifier": "2222554010",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edelweiss Village",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "German Centre for Extended Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Senior Place Adult Day Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Roxbury, MA

Sources for this page

Verify at the official NPI Registry.