Organization Active NPI

Mary's Meadow at Providence Place,Inc.

Doing business as Mary's Meadow at Providence Place

  • Skilled Nursing Facility
  • Holyoke, MA
National Provider Identifier
1578898755
Registry record updated Feb 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0FIT Issued in MA
Legal business name
MARY'S MEADOW AT PROVIDENCE PLACE,INC.
Doing business as
Mary's Meadow at Providence Place
Practice address
5 Gamelin St
Holyoke, MA 01040-4072
Phone
(413) 420-2500
Fax
(413) 322-7096
NPI assigned
Oct 6, 2009
Last updated
Feb 11, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2010

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

Authorized official

Name
Mrs. Beth L Chague
Title
Director of Finance
Phone
(413) 539-2942

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0FIT MA Primary

Addresses

Primary practice location

5 Gamelin St
Holyoke, MA 01040-4072

Mailing address

5 Gamelin St
Holyoke, MA 01040-4072
Phone (413) 420-2500

Other names 1

  • Mary's Meadow at Providence Place Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100301000790 MA Part A Provider - Skilled Nursing Facility 4385789429 Practice locations: Holyoke, MA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1578898755. Details of each certification follow.

Skilled nursing facility certification: CCN 225738

Legal name
MARY'S MEADOW AT PROVIDENCE PLACE,INC.
Doing business as
MARY'S MEADOW AT PROVIDENCE PLACE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 22, 1998
Last certification
Jul 10, 2024
Beds
40
Ownership / control type
Church Related
Organization structure
CorporationNon-profit
Incorporated
Feb 21, 2008 in MA
Enrollment address
12 Gamelin St
Holyoke, MA 01040-4080
Nursing home name
MARY'S MEADOW AT PROVIDENCE PLACE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Mary's Meadow at Providence PlaceCCN 225738 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Church related
Certified
Jan 22, 1998
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4037.0 residents per day on average

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
22D0932351Mary's Meadow at Providence Place12 Gamelin St, Holyoke, MA 01040Certificate of waiverAug 18, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Eric Dana Individual Contracted Managing Employee Jul 1, 2022
Mary Caritas Geary Individual Corporate OfficerSecretary Apr 26, 2016
Corporate DirectorSecretary Oct 1, 2009
John Sjoberg Individual Corporate DirectorTrustee Oct 1, 2021
John M Wesolowski Individual Corporate OfficerChief Executive Officer Jan 1, 2022
Jill Keough Individual Corporate DirectorTrustee Oct 1, 2021
Geraldine Noonan Individual Corporate DirectorTrustee Oct 1, 2009
Sisters of Providence Ministry Corporation Organization, Holyoke, MA Non-profit 5% Or Greater Direct Ownership Interest May 6, 2014 100%
Kathleen M Popko Individual Corporate OfficerPresident and Chair Apr 26, 2016
Corporate DirectorPresident Nov 4, 2010
Trinity Senior Services Management Organization, Livonia, MI Corporation, For-profit Operational/Managerial Control Jul 1, 2022
Patrick Arguin Individual W-2 Managing EmployeeGuide May 5, 2014
Agnes McNair Fulton Individual Corporate OfficerTreasurer Oct 1, 2021
Corporate DirectorTreasurer Oct 1, 2021
Michael H Tremble Individual Corporate DirectorTrustee Oct 1, 2021

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

Practitioners 1

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 1

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": "1254787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265846400000",
    "number": "1578898755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 GAMELIN ST",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010404072",
            "telephone_number": "413-420-2500",
            "fax_number": "413-322-7096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 GAMELIN ST",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010404072",
            "telephone_number": "413-420-2500",
            "fax_number": "413-322-7096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY'S MEADOW AT PROVIDENCE PLACE,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-06",
        "last_updated": "2010-02-11",
        "status": "A",
        "authorized_official_last_name": "CHAGUE",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "413-539-2942",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "0FIT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mary's Meadow at Providence Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Holyoke, MA

Sources for this page

Verify at the official NPI Registry.