Shriver Nursing Services, Inc

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

0605221 Issued in MA

Legal business name

SHRIVER NURSING SERVICES, INC

Doing business as

Family Lives

Practice address

36 W Main St
Westborough, MA 01581

Phone

(508) 475-0493

Fax

(781) 475-0410

NPI assigned

Oct 24, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Carolyn VH Brennan, RN, MSNNPI 1477383891

Title

Vice President of Clinical Affairs

Phone

(508) 475-0493

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Family Lives Doing business as

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Home health agency certification: CCN 227470

Legal name

SHRIVER NURSING SERVICES, INC

Doing business as

FAMILY LIVES

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Dec 7, 1999

Last certification

Aug 14, 2009

Ownership / control type

Non-Profit

Organization structure

CorporationNon-profit

Incorporated

Feb 8, 2002 in MA

Enrollment address

36W Main St
Westborough, MA 01581-1902
HHA Branch

Listed as

Family LivesCCN 227470 · All quality measures

Ownership

Non-Profit

Certified

Dec 7, 1999

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 7

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carolyn Virginia Hegan Brennan, RN

  • Nursing Care Agency
  • Shrewsbury, MA
  • NPI 1477383891
  NPD Authorized official

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530489600000",
    "number": "1619051810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 W MAIN ST",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015811902",
            "telephone_number": "508-475-0493",
            "fax_number": "508-475-0410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 W MAIN ST",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "01581",
            "telephone_number": "508-475-0493",
            "fax_number": "781-475-0410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHRIVER NURSING SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2018-07-02",
        "status": "A",
        "authorized_official_last_name": "BRENNAN",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "VH",
        "authorized_official_title_or_position": "VICE PRESIDENT OF CLINICAL AFFAIRS",
        "authorized_official_telephone_number": "508-475-0493",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, MSN"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "MA",
            "license": "0605221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110024382A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Lives",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Family Lives",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hajra O Sheikh, DMD
• Mynette Shifman, NP
• Susan Elizabeth Shih, M.D.
• Mohini Shinde, DMD
• Debra Lynn Shrier, LICSW
• Betheda R. Shuman, LMHC
• Zafar I. Siddiqui, MD
• Anne Siegal, P.T.
• Jerome David Siegel, MD
• Carlos Silva, LICSW

• Nursing Care Agency in Westborough, MA
• Providers in Westborough, MA by specialty
• Nursing Care Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.