Active NPI
Deutsches Altenheim Inc.
Doing business as Edelweiss Village
- Skilled Nursing Facility
- West Roxbury, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0740
- 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, 2019
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100048 | Other | MA | EVERCARE |
| 2222554001 | Other | MA | BLUC CROSS |
| 903196 | Other | MA | HARVARD PILGRIM |
| 980667 | Other | MA | TUFTS |
| 0908908 | Medicaid | MA | |
| 2222554010 | Other | MA | BLUE CROSS OUT PATIENT |
Other names 3
- Edelweiss Village
- German Centre for Extended Care
- Senior Place Adult Day Health
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Care
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Feb 2, 1992
- Medicare certification status
- Active
- Certified beds
- 133
- Chain
- Chelsea Jewish Lifecare
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D0861305 | Deutsches Altenheim Inc | Certificate of waiver | Aug 31, 2026 |
| 22D2208362 | Edelweiss Village | Certificate of waiver | Jan 5, 2027 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Babacar Diop | Corporate Officer | Sep 21, 2022 | |
| Operational/Managerial Control | Sep 1, 2022 | ||
| Adp of the SNF | Sep 1, 2022 | ||
| Dorreth Chambers | Operational/Managerial Control | Jan 19, 2021 | |
| Marie Schwartz | Corporate Director | Sep 1, 2018 | 5% |
| Operational/Managerial Control | Sep 1, 2018 | ||
| Lars Heise | Corporate Director | Nov 1, 2023 | 5% |
| Operational/Managerial Control | Oct 1, 2023 | ||
| Douglas Benton | Operational/Managerial Control | Feb 22, 2022 | |
| Adp of the SNF | Feb 22, 2022 | ||
| Hans H Toegel | Corporate Director | Oct 1, 2017 | 5% |
| Operational/Managerial Control | Oct 1, 2017 | ||
| Heidi Barenthaler | Corporate Director | Jul 24, 2024 | 5% |
| Operational/Managerial Control | Jul 21, 2024 | ||
| Angela Cadasse | Operational/Managerial Control | Nov 7, 2022 | |
| Adp of the SNF | Nov 7, 2022 | ||
| Jennifer Santerre | Operational/Managerial Control | Jul 1, 2022 | |
| Adp of the SNF | Jul 1, 2021 | ||
| U Barbara Bridge | Corporate Director | Oct 1, 1980 | 5% |
| Operational/Managerial Control | Oct 1, 1980 | ||
| Julius Lwomwa | Operational/Managerial Control | Dec 17, 2024 | |
| Adp of the SNF | Dec 17, 2024 | ||
| Baker Tilly US LLP | Operational/Managerial Control | Feb 5, 2025 | |
| Trustee of the SNF | Feb 5, 2025 | ||
| Adp of the SNF | May 22, 2025 | ||
| Justin Pineiro | Operational/Managerial Control | Jul 13, 2015 | |
| Adp of the SNF | Jul 13, 2015 | ||
| Adrian Pieleanu | Operational/Managerial Control | Dec 13, 2021 | |
| Adp of the SNF | Dec 13, 2021 | ||
| Philipp Von Rosenstiel | Corporate Director | Jan 25, 2017 | 5% |
| Operational/Managerial Control | Jan 25, 2017 | ||
| Roswitha T Stehling | Corporate Director | Oct 1, 2018 | 5% |
| Operational/Managerial Control | Oct 1, 2018 | ||
| Carol Soeldner | Corporate Director | Oct 1, 1996 | |
| Operational/Managerial Control | Oct 1, 1996 | ||
| Legacy Lifecare Inc | 5% Or Greater Direct Ownership Interest | Sep 8, 2020 | 100% |
| Adp of the SNF | May 22, 2025 | ||
| Hans P Birle | Corporate Officer | Oct 1, 1995 | 5% |
| Corporate Director | Oct 1, 1995 | ||
| Operational/Managerial Control | Oct 1, 1995 | ||
| Adam S Berman | Corporate Director | Apr 1, 2021 | 5% |
| Operational/Managerial Control | Apr 1, 2021 | ||
| Genevieve Maclellan | Corporate Officer | Oct 1, 2013 | |
| Corporate Director | Oct 1, 2008 | 5% | |
| Operational/Managerial Control | Oct 1, 2008 | ||
| Heinz R Brinkhaus | Corporate Director | Oct 1, 1998 | 5% |
| Operational/Managerial Control | Oct 1, 1998 | ||
| Chelsea Jewish Lifecare Inc | Operational/Managerial Control | Sep 8, 2020 | |
| Adp of the SNF | May 22, 2025 | ||
| Baker Tilly Advisory Group LP | Operational/Managerial Control | Feb 19, 2025 | |
| Trustee of the SNF | Feb 19, 2025 | ||
| Adp of the SNF | May 22, 2025 | ||
| Heinz W Brinkhaus | Corporate Director | Oct 1, 1976 | 5% |
| Operational/Managerial Control | Oct 1, 1976 | ||
| Armin Grueneich | Corporate Director | Nov 1, 2023 | 5% |
| Operational/Managerial Control | Nov 1, 2023 | ||
| Charles a Von Stackelberg | Corporate Officer | Oct 22, 2014 | |
| Corporate Director | Oct 22, 2014 | 5% | |
| Operational/Managerial Control | Oct 22, 2014 | ||
| Erik Dilger | Corporate Director | Nov 1, 2023 | 5% |
| Operational/Managerial Control | Nov 1, 2023 | ||
| Dirk M Hentschel | Corporate Director | Jan 25, 2017 | 5% |
| Operational/Managerial Control | Jan 25, 2017 | ||
| Jennifer Linehan | Operational/Managerial Control | Jul 2, 2024 | |
| Adp of the SNF | Jul 2, 2024 | ||
| John Carberry | 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.
-
- Nephrology Physician
- Boston, MA
- NPI 1093771495
Corporate Director, Operational/Managerial Control
-
- Internal Medicine Physician
- Walpole, MA
- NPI 1235399098
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 14
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Jamaica Plain, MA
- NPI 1457348716
Baker Tilly Advisory Group LP, Baker Tilly US LLP, Chelsea Jewish Lifecare Inc
-
dba Chelsea Jewish Visiting Nurse Agency
- Home Health Agency
- Chelsea, MA
- NPI 1528519980
Chelsea Jewish Lifecare Inc, Legacy Lifecare Inc
-
dba Chelsea Jewish Hospice and Palliative Care
- Community Based Hospice Care Agency
- Chelsea, MA
- NPI 1770034944
Chelsea Jewish Lifecare Inc, Legacy Lifecare Inc
-
dba Leonard Florence Center for Living
- Skilled Nursing Facility
- Chelsea, MA
- NPI 1689806937
Baker Tilly Advisory Group LP, Baker Tilly US LLP, Chelsea Jewish Lifecare Inc, Legacy Lifecare Inc
-
dba Katzman Family Center for Living
- Skilled Nursing Facility
- Chelsea, MA
- NPI 1891780268
Baker Tilly Advisory Group LP, Baker Tilly US LLP, Chelsea Jewish Lifecare Inc, Legacy Lifecare Inc
-
dba Elizabeth Seton Residence
- Skilled Nursing Facility
- Wellesley Hills, MA
- NPI 1457357659
Chelsea Jewish Lifecare Inc
-
- Skilled Nursing Facility
- Longmeadow, MA
- NPI 1619086881
Chelsea Jewish Lifecare Inc
-
dba Jeffrey & Susan Brudnick Center for Living
- Skilled Nursing Facility
- Peabody, MA
- NPI 1730287632
Baker Tilly Advisory Group LP, Baker Tilly US LLP, Chelsea Jewish Lifecare Inc, Legacy Lifecare Inc
-
- Home Health Agency
- Longmeadow, MA
- NPI 1598757478
Chelsea Jewish Lifecare Inc, Legacy Lifecare Inc
-
- Community Based Hospice Care Agency
- Longmeadow, MA
- NPI 1932262250
Chelsea Jewish Lifecare Inc, Legacy Lifecare Inc
-
dba Stone Rehabilitation and Senior Living
- Skilled Nursing Facility
- Newton Upper Falls, MA
- NPI 1295746188
Chelsea Jewish Lifecare Inc
-
dba Laurel View Village
- Skilled Nursing Facility
- Davidsville, PA
- NPI 1982679437
Baker Tilly US LLP
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.
-
- Internal Medicine Physician
- South Weymouth, MA
- NPI 1538575915
-
- Internal Medicine Physician
- Walpole, MA
- NPI 1235399098
-
- Hematology & Oncology Physician
- Norwood, MA
- NPI 1477550408
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; 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.