Organization Active NPI

Jewish Nursing Home of Western Mass., Inc.

  • Skilled Nursing Facility
  • Longmeadow, MA
National Provider Identifier
1619086881
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0722 Issued in MA
Legal business name
JEWISH NURSING HOME OF WESTERN MASS., INC.
Practice address
770 Converse St
Longmeadow, MA 01106-1719
Phone
(413) 567-3949
Fax
(413) 567-0175
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Thomas E. Dybick
Title
Chief Financial Officer
Phone
(413) 567-3949

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0722 MA Primary

Addresses

Primary practice location

770 Converse St
Longmeadow, MA 01106-1719

Mailing address

770 Converse St
Longmeadow, MA 01106-1719
Phone (413) 567-3949

Other identifiers 1

IdentifierTypeStateIssuer
0920444MedicaidMA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100824000070 MA Part A Provider - Skilled Nursing Facility 1456475763 Practice locations: Longmeadow, MA

Skilled nursing facility certification: CCN 225040

Legal name
JEWISH NURSING HOME OF WESTERN MASS., INC.
Doing business as
JULIAN J. LEVITT FAMILY NURSING HOME
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1967
Last certification
May 7, 2025
Beds
200
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Enrollment address
770 Converse St
Longmeadow, MA 01106-1719
Nursing home name
JULIAN J LEVITT FAMILY NURSING HOME
Affiliated entity
CHELSEA JEWISH LIFECARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Julian J Levitt Family Nursing HomeCCN 225040
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jan 1, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
200182.6 residents per day on average
Chain
Chelsea Jewish Lifecare5 facilities in the chain
Penalties (3 years)
1Fines totaling $11,468

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Jewish Nursing Home of Western Mass2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 42

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

NameRoleSinceShare
Carol Casartello Individual Corporate OfficerClerk May 1, 2020 5%
Corporate Director May 1, 2020 5%
Operational/Managerial Control May 1, 2020
Brie Jenkins Individual Operational/Managerial Control Sep 15, 2020
Adp of the SNF Sep 15, 2020
Jeffrey Brudnick Individual Operational/Managerial Control Sep 14, 2018
JGS Lifecare Corporation Organization, Longmeadow, MA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jun 15, 1994 100%
Operational/Managerial Control Jun 15, 1994
Adp of the SNF May 23, 2025
Sharon Forman Individual Operational/Managerial Control Sep 14, 2018
Stuart a Anfang Individual Corporate OfficerPast Chair Nov 1, 2021 5%
Corporate DirectorDirector Jan 1, 1999 5%
Operational/Managerial Control Jan 1, 1999
Susan M Megas Individual Corporate Director Nov 1, 2024 5%
Operational/Managerial Control Nov 1, 2024
Christopher Carr Individual Corporate Director Jan 1, 2018 5%
Operational/Managerial Control Jan 1, 2018
Martha Finkel Individual Corporate Director Jan 1, 2000 5%
Operational/Managerial Control Jan 1, 2020
Lauren E Carmel Individual Operational/Managerial Control May 22, 2019
Adp of the SNF May 22, 2019
Susan Kline Individual Corporate Director Jan 1, 1980 5%
Operational/Managerial Control Jan 1, 1980
Susan Goldsmith Individual Corporate Director May 1, 2013 5%
Operational/Managerial Control May 1, 2013
Jennifer Santerre Individual Corporate OfficerCfo Jul 1, 2021
Operational/Managerial Control Jul 1, 2021
Adp of the SNF Jul 1, 2021
Jane Albert Individual Corporate OfficerChair Nov 1, 2023 5%
Corporate DirectorDirector Nov 1, 2023 5%
Operational/Managerial Control Nov 1, 2023
Michael Webber Individual Corporate Director Nov 1, 2023 5%
Operational/Managerial Control Nov 1, 2023
Nancy V Milewska Individual Operational/Managerial Control Sep 5, 2018
Adp of the SNF Sep 5, 2018
Udaya B Jagadeesan Individual Operational/Managerial Control Nov 1, 2016
Adp of the SNF Nov 1, 2016
Elizabeth Mullen Individual Operational/Managerial Control Sep 14, 2018
Gerald Lazarus Individual Corporate Director Jan 1, 2017 5%
Operational/Managerial Control Jan 1, 2017
Rudy D'Agostino Individual Corporate Officer Jan 1, 2008 5%
Corporate Director Jan 1, 2008 5%
Operational/Managerial Control Jan 1, 2008
Steven Dane Individual Corporate Director May 1, 2018 5%
Operational/Managerial Control May 1, 2018
Adam S Berman Individual Corporate OfficerCeo Jan 1, 2018 5%
Corporate Director Jan 1, 2018 5%
Operational/Managerial Control Jan 1, 2018
Adp of the SNF Jan 1, 2018
Judy Weiss Individual Operational/Managerial Control Sep 14, 2018
Douglas Fiebelkorn Individual Operational/Managerial Control Sep 14, 2018
Peter Greenberg Individual Corporate Director May 1, 2017 5%
Operational/Managerial Control May 1, 2017
Elizabeth Formaggioni Individual Operational/Managerial Control Mar 21, 2022
Adp of the SNF Mar 21, 2022
Michelle Feinstein Individual Corporate Director Jan 1, 2015 5%
Operational/Managerial Control Jan 1, 2015
Jodi Dindas Ditusa Individual Corporate DirectorDirector Nov 1, 2021 5%
Operational/Managerial Control Nov 1, 2021
Gilda Richman Individual Operational/Managerial Control Sep 14, 2018
Michael Machia Individual Operational/Managerial Control Feb 19, 2020
Adp of the SNF Feb 19, 2020
Stephen Wagner Individual Operational/Managerial Control Jul 1, 2025
Adp of the SNF Jul 1, 2025
Chelsea Jewish Lifecare Inc Organization, Chelsea, MA Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Mar 9, 2019 100%
Operational/Managerial Control Mar 9, 2019
Adp of the SNF May 23, 2025
Carol J Mortensen Individual Operational/Managerial Control Dec 1, 2023
Adp of the SNF Dec 1, 2023
Barry S Berman Individual Operational/Managerial Control Sep 18, 2018
Adp of the SNF Jan 1, 2018
Richard Halpern Individual Corporate DirectorDirector Jan 1, 1982 5%
Operational/Managerial Control Jan 1, 1982
M&T Bank Organization, Buffalo, NY Holding company, Financial institution 5% Or Greater Mortgage Interest Apr 30, 2025 100%
5% Or Greater Security Interest Apr 30, 2025 100%
Howard Greenspan Individual Operational/Managerial Control Sep 14, 2018
James S Rosenthal Individual Corporate Director May 1, 2015 5%
Operational/Managerial Control May 1, 2015
Neesa Turowsky Individual Operational/Managerial Control Feb 4, 2025
Adp of the SNF Feb 4, 2025
Robert Whitten Individual Operational/Managerial Control Jun 13, 2018
Adp of the SNF Jun 13, 2018
Donna Crescenzo Individual Operational/Managerial Control Dec 13, 2010
Bryon Wallace Individual Operational/Managerial Control Dec 5, 2023
Adp of the SNF Dec 5, 2023

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 12

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.

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": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619086881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 CONVERSE ST",
            "city": "LONGMEADOW",
            "state": "MA",
            "postal_code": "011061719",
            "telephone_number": "413-567-3949",
            "fax_number": "413-567-0175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 CONVERSE ST",
            "city": "LONGMEADOW",
            "state": "MA",
            "postal_code": "011061719",
            "telephone_number": "413-567-3949",
            "fax_number": "413-567-0175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEWISH NURSING HOME OF WESTERN MASS., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DYBICK",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "413-567-3949",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "0722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0920444",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmeadow, MA

Sources for this page

Verify at the official NPI Registry.