Active NPI
Jewish Nursing Home of Western Mass., Inc.
- Skilled Nursing Facility
- Longmeadow, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0722
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0920444 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Home
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Jan 1, 1967
- Medicare certification status
- Active
- Certified beds
- 200
- Chain
- Chelsea Jewish Lifecare
- Penalties (3 years)
- 1
National Provider Directory
National Provider Directory- Tax ID family
- Jewish Nursing Home of Western Mass
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adult Day Care Clinic/Center
- Longmeadow, MA
- NPI 1003910357
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Carol Casartello | Corporate Officer | May 1, 2020 | 5% |
| Corporate Director | May 1, 2020 | 5% | |
| Operational/Managerial Control | May 1, 2020 | ||
| Brie Jenkins | Operational/Managerial Control | Sep 15, 2020 | |
| Adp of the SNF | Sep 15, 2020 | ||
| Jeffrey Brudnick | Operational/Managerial Control | Sep 14, 2018 | |
| JGS Lifecare Corporation | 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 | Operational/Managerial Control | Sep 14, 2018 | |
| Stuart a Anfang | Corporate Officer | Nov 1, 2021 | 5% |
| Corporate Director | Jan 1, 1999 | 5% | |
| Operational/Managerial Control | Jan 1, 1999 | ||
| Susan M Megas | Corporate Director | Nov 1, 2024 | 5% |
| Operational/Managerial Control | Nov 1, 2024 | ||
| Christopher Carr | Corporate Director | Jan 1, 2018 | 5% |
| Operational/Managerial Control | Jan 1, 2018 | ||
| Martha Finkel | Corporate Director | Jan 1, 2000 | 5% |
| Operational/Managerial Control | Jan 1, 2020 | ||
| Lauren E Carmel | Operational/Managerial Control | May 22, 2019 | |
| Adp of the SNF | May 22, 2019 | ||
| Susan Kline | Corporate Director | Jan 1, 1980 | 5% |
| Operational/Managerial Control | Jan 1, 1980 | ||
| Susan Goldsmith | Corporate Director | May 1, 2013 | 5% |
| Operational/Managerial Control | May 1, 2013 | ||
| Jennifer Santerre | Corporate Officer | Jul 1, 2021 | |
| Operational/Managerial Control | Jul 1, 2021 | ||
| Adp of the SNF | Jul 1, 2021 | ||
| Jane Albert | Corporate Officer | Nov 1, 2023 | 5% |
| Corporate Director | Nov 1, 2023 | 5% | |
| Operational/Managerial Control | Nov 1, 2023 | ||
| Michael Webber | Corporate Director | Nov 1, 2023 | 5% |
| Operational/Managerial Control | Nov 1, 2023 | ||
| Nancy V Milewska | Operational/Managerial Control | Sep 5, 2018 | |
| Adp of the SNF | Sep 5, 2018 | ||
| Udaya B Jagadeesan | Operational/Managerial Control | Nov 1, 2016 | |
| Adp of the SNF | Nov 1, 2016 | ||
| Elizabeth Mullen | Operational/Managerial Control | Sep 14, 2018 | |
| Gerald Lazarus | Corporate Director | Jan 1, 2017 | 5% |
| Operational/Managerial Control | Jan 1, 2017 | ||
| Rudy D'Agostino | Corporate Officer | Jan 1, 2008 | 5% |
| Corporate Director | Jan 1, 2008 | 5% | |
| Operational/Managerial Control | Jan 1, 2008 | ||
| Steven Dane | Corporate Director | May 1, 2018 | 5% |
| Operational/Managerial Control | May 1, 2018 | ||
| Adam S Berman | Corporate Officer | 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 | Operational/Managerial Control | Sep 14, 2018 | |
| Douglas Fiebelkorn | Operational/Managerial Control | Sep 14, 2018 | |
| Peter Greenberg | Corporate Director | May 1, 2017 | 5% |
| Operational/Managerial Control | May 1, 2017 | ||
| Elizabeth Formaggioni | Operational/Managerial Control | Mar 21, 2022 | |
| Adp of the SNF | Mar 21, 2022 | ||
| Michelle Feinstein | Corporate Director | Jan 1, 2015 | 5% |
| Operational/Managerial Control | Jan 1, 2015 | ||
| Jodi Dindas Ditusa | Corporate Director | Nov 1, 2021 | 5% |
| Operational/Managerial Control | Nov 1, 2021 | ||
| Gilda Richman | Operational/Managerial Control | Sep 14, 2018 | |
| Michael Machia | Operational/Managerial Control | Feb 19, 2020 | |
| Adp of the SNF | Feb 19, 2020 | ||
| Stephen Wagner | Operational/Managerial Control | Jul 1, 2025 | |
| Adp of the SNF | Jul 1, 2025 | ||
| Chelsea Jewish Lifecare Inc | 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 | Operational/Managerial Control | Dec 1, 2023 | |
| Adp of the SNF | Dec 1, 2023 | ||
| Barry S Berman | Operational/Managerial Control | Sep 18, 2018 | |
| Adp of the SNF | Jan 1, 2018 | ||
| Richard Halpern | Corporate Director | Jan 1, 1982 | 5% |
| Operational/Managerial Control | Jan 1, 1982 | ||
| M&T Bank | 5% Or Greater Mortgage Interest | Apr 30, 2025 | 100% |
| 5% Or Greater Security Interest | Apr 30, 2025 | 100% | |
| Howard Greenspan | Operational/Managerial Control | Sep 14, 2018 | |
| James S Rosenthal | Corporate Director | May 1, 2015 | 5% |
| Operational/Managerial Control | May 1, 2015 | ||
| Neesa Turowsky | Operational/Managerial Control | Feb 4, 2025 | |
| Adp of the SNF | Feb 4, 2025 | ||
| Robert Whitten | Operational/Managerial Control | Jun 13, 2018 | |
| Adp of the SNF | Jun 13, 2018 | ||
| Donna Crescenzo | Operational/Managerial Control | Dec 13, 2010 | |
| Bryon Wallace | 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.
-
- Psychiatry Physician
- Springfield, MA
- NPI 1033269410
Corporate Director, Corporate Officer, Operational/Managerial Control
-
- Internal Medicine Physician
- Longmeadow, MA
- NPI 1790743755
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 12
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Jamaica Plain, MA
- NPI 1457348716
Chelsea Jewish Lifecare Inc
-
- Home Health Agency
- Chelsea, MA
- NPI 1528519980
Chelsea Jewish Lifecare Inc
-
- Community Based Hospice Care Agency
- Chelsea, MA
- NPI 1770034944
Chelsea Jewish Lifecare Inc
-
- Skilled Nursing Facility
- Chelsea, MA
- NPI 1689806937
Chelsea Jewish Lifecare Inc
-
- Skilled Nursing Facility
- Chelsea, MA
- NPI 1891780268
Chelsea Jewish Lifecare Inc
-
- Skilled Nursing Facility
- West Roxbury, MA
- NPI 1528062387
Chelsea Jewish Lifecare Inc
-
- Skilled Nursing Facility
- Wellesley Hills, MA
- NPI 1457357659
Chelsea Jewish Lifecare Inc
-
- Skilled Nursing Facility
- Peabody, MA
- NPI 1730287632
Chelsea Jewish Lifecare Inc
-
- Home Health Agency
- Longmeadow, MA
- NPI 1598757478
Chelsea Jewish Lifecare Inc, JGS Lifecare Corporation
-
- Community Based Hospice Care Agency
- Longmeadow, MA
- NPI 1932262250
Chelsea Jewish Lifecare Inc, JGS Lifecare Corporation
-
- Skilled Nursing Facility
- Newton Upper Falls, MA
- NPI 1295746188
Chelsea Jewish Lifecare Inc
-
- Skilled Nursing Facility
- Windham, CT
- NPI 1811087224
Chelsea Jewish Lifecare Inc
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Longmeadow, MA
- NPI 1790743755
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.