NPIMap

Organization Active NPI

Alliance Health of Brockton, Inc.

Doing business as Alliance Health at West Acres

  • Skilled Nursing Facility
  • Brockton, MA
National Provider Identifier
1528066990
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ALLIANCE HEALTH OF BROCKTON, INC.
Doing business as
Alliance Health at West Acres
Practice address
804 Pleasant St
Brockton, MA 02301-3055
Phone
(508) 583-6000
Fax
(508) 580-2468
NPI assigned
Jul 11, 2005
Last updated
Oct 6, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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

Authorized official

Name
Paul Brian Kemp
Title
Treasurer
Phone
(774) 348-2001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

804 Pleasant St
Brockton, MA 02301-3055

Mailing address

804 Pleasant St
Brockton, MA 02301-3055
Phone (508) 583-6000

Other identifiers 1

IdentifierTypeStateIssuer
0925594MedicaidMA

Other names 1

  • Alliance Health at West Acres Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050407000061 MA Part A Provider - Skilled Nursing Facility 2365499795 Practice locations: Brockton, MA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1528066990. Details of each certification follow.

Skilled nursing facility certification: CCN 225259

Legal name
ALLIANCE HEALTH OF BROCKTON INC
Doing business as
ALLIANCE HEALTH AT WEST ACRES
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 1, 1977
Last certification
Aug 29, 2024
Beds
138
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Alliance Health and Human Services
Organization structure
CorporationNon-profit
Incorporated
Jan 27, 1999 in MA
Enrollment address
804 Pleasant St
Brockton, MA 02301-3055
Nursing home name
ALLIANCE HEALTH AT WEST ACRES
Affiliated entity
ALLIANCE HEALTH & HUMAN SERVICES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Alliance Health at West AcresCCN 225259 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Aug 1, 1977
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
138117.6 residents per day on average
Chain
Alliance Health & Human Services8 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
22D0080501Alliance Health at West Acres804 Pleasant St, Brockton, MA 02301Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 20

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

NameRoleSinceShare
Peter B Zampine Individual Corporate DirectorBoard Member Nov 30, 2016
Lument Real Estate Capital LLC Organization, Columbus, OH LLC, Financial institution, For-profit 5% Or Greater Mortgage Interest Jan 24, 2023 100%
James Bruce Riley Individual Corporate DirectorBoard Member Sep 20, 2006
Alliance Health Inc Organization, Southborough, MA Created for acquisition, Corporation, Non-profit, Chain home office 5% Or Greater Direct Ownership Interest Sep 22, 1999 100%
Tammy Brunetti Individual Corporate DirectorBoard Member Mar 6, 2019
Danielle Fusco Individual Operational/Managerial Control Mar 17, 2025
Adp of the SNF Mar 18, 2025
Fabian Delgado Individual Operational/Managerial Control May 1, 2019
Adp of the SNF Mar 26, 2025
Andrew R Calkins Individual Corporate DirectorBoard Member Mar 6, 2017
Linda B Corridan Individual Corporate DirectorBoard Chair Sep 17, 2008
Alliance Health Management Services LLC Organization, Southborough, MA LLC, Non-profit Operational/Managerial Control Aug 1, 2013
Adp of the SNF Mar 18, 2025
Erik J. Jones Individual Corporate DirectorBoard Member Nov 26, 2018
Christopher Robbins Individual Corporate DirectorBoard Member Nov 17, 1999
Organization, Minneapolis, MN Adp of the SNF Mar 18, 2025
Arthur P Mourtzinos Individual Corporate DirectorBoard Member Jun 19, 2014
Michael O Jennings Individual Corporate DirectorBoard Member Sep 25, 2024
Thomas C Lavallee Individual Corporate OfficerClerk Jun 22, 2016
Paul B Kemp Individual Corporate OfficerTreasurer Jun 22, 2016
Alfred a. Gray Individual Corporate DirectorBoard Member Mar 6, 2019
Jerome J Janisko Individual Corporate DirectorBoard Member Jan 25, 1999
Francis J Grady Individual Corporate OfficerPresident & Ceo Jun 22, 2016
Corporate DirectorBoard Member Jul 15, 2013

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 10

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

Practitioners & affiliated clinicians

Practitioners 6

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": "1121040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601942400000",
    "number": "1528066990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 PLEASANT ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023013055",
            "telephone_number": "508-583-6000",
            "fax_number": "508-580-2468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 PLEASANT ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023013055",
            "telephone_number": "508-583-6000",
            "fax_number": "508-580-2468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE HEALTH OF BROCKTON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-11",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A",
        "authorized_official_last_name": "KEMP",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "774-348-2001"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0925594",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alliance Health at West Acres",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brockton, MA

Sources for this page

Verify at the official NPI Registry.