Active NPI
Shrewsbury SNF Operations LLC
- Skilled Nursing Facility
- Shrewsbury, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- SHREWSBURY SNF OPERATIONS LLC
- Practice address
- 40 Julio Dr
Shrewsbury, MA 01545-3010 - Phone
- (508) 845-6786
- NPI assigned
- Feb 28, 2024
- Last updated
- Feb 28, 2024
- 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
- Michael Levy
- Title
- Authorized Official
- Phone
- (732) 678-4524
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
40 Julio Dr
Shrewsbury, MA 01545-3010
Mailing address
40 Julio Dr
Shrewsbury, MA 01545-3010
Phone (508) 845-6786
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240610002768 | MA | Part A Provider - Skilled Nursing Facility | 4183166887 | Practice locations: Shrewsbury, MA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1619734456. Details of each certification follow.
Skilled nursing facility certification: CCN 225491
- Legal name
- SHREWSBURY SNF OPERATIONS LLC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jul 1, 1990
- Last certification
- Nov 27, 2024
- Beds
- 99
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Atlas Health Care
- Organization structure
- LLC
- Enrollment address
- 40 Julio Dr
Shrewsbury, MA 01545-3010 - Nursing home name
- SHREWSBURY REHABILITATION AND NURSING AT SOUTHGATE
- Affiliated entity
- ATLAS HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Shrewsbury Rehabilitation and Nursing at Southgate
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jul 1, 1990
- Medicare certification status
- Active
- Certified beds
- 99
- Chain
- Atlas Healthcare
- Penalties (3 years)
- 1
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 11
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 |
|---|---|---|---|
| Shrewsbury Operations Holdings LLC | 5% Or Greater Direct Ownership Interest | May 7, 2024 | 100% |
| JMH Family Trust | 5% Or Greater Indirect Ownership Interest | May 7, 2024 | 20.9% |
| David Herzka | 5% Or Greater Indirect Ownership Interest | May 7, 2024 | 7% |
| MLS Family LLC | 5% Or Greater Indirect Ownership Interest | May 7, 2024 | 22% |
| Michael Levy | 5% Or Greater Indirect Ownership Interest | May 7, 2024 | 23% |
| Corporate Officer | May 7, 2024 | ||
| SGS Family LLC | 5% Or Greater Indirect Ownership Interest | May 7, 2024 | 22% |
| MLS Family Trust | 5% Or Greater Indirect Ownership Interest | May 7, 2024 | 20.9% |
| Zahra S Sheikh | Contracted Managing Employee | May 7, 2024 | |
| JMH Family LLC | 5% Or Greater Indirect Ownership Interest | May 7, 2024 | 22% |
| SGS Family Trust | 5% Or Greater Indirect Ownership Interest | May 7, 2024 | 20.9% |
| Heather Demma | W-2 Managing Employee | May 7, 2024 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Geriatric Medicine (Internal Medicine) Physician
- Worcester, MA
- NPI 1851389522
Contracted Managing Employee
Facilities with the same owner 18
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Oak Knoll Rehabilitation and Healthcare Center
- Skilled Nursing Facility
- Framingham, MA
- NPI 1912702457
JMH Family LLC, JMH Family Trust, MLS Family LLC, MLS Family Trust, SGS Family LLC, SGS Family Trust
-
- Skilled Nursing Facility
- Danvers, MA
- NPI 1023852167
JMH Family LLC, JMH Family Trust, MLS Family LLC, MLS Family Trust, SGS Family LLC, SGS Family Trust
-
dba Haverhill Rehabilitation and Healthcare Center
- Skilled Nursing Facility
- Haverhill, MA
- NPI 1497550925
JMH Family LLC, JMH Family Trust, MLS Family LLC, MLS Family Trust, SGS Family LLC, SGS Family Trust
-
dba Sippican Rehabilitation and Healthcare Center
- Skilled Nursing Facility
- Marion, MA
- NPI 1346045887
JMH Family LLC, MLS Family LLC, MLS Family Trust, SGS Family LLC, SGS Family Trust
-
dba Nemasket Rehabilitation and Healthcare Center
- Skilled Nursing Facility
- Middleboro, MA
- NPI 1659176188
JMH Family LLC, JMH Family Trust, MLS Family LLC, MLS Family Trust, SGS Family LLC, SGS Family Trust
-
dba Port Rehabilitation and Healthcare Center
- Skilled Nursing Facility
- Newburyport, MA
- NPI 1700681244
JMH Family LLC, JMH Family Trust, MLS Family LLC, MLS Family Trust, SGS Family LLC, SGS Family Trust
-
dba Masconomet Rehabilitation and Healthcare Center
- Skilled Nursing Facility
- Topsfield, MA
- NPI 1831994367
JMH Family LLC, JMH Family Trust, MLS Family LLC, MLS Family Trust, SGS Family LLC, SGS Family Trust
-
- Skilled Nursing Facility
- Niantic, CT
- NPI 1477273738
JMH Family LLC, JMH Family Trust, MLS Family LLC, MLS Family Trust, SGS Family LLC, SGS Family Trust
-
- Skilled Nursing Facility
- Manchester, CT
- NPI 1437883675
JMH Family LLC, JMH Family Trust, MLS Family LLC, MLS Family Trust, SGS Family LLC, SGS Family Trust
-
- Skilled Nursing Facility
- Matawan, NJ
- NPI 1548971765
JMH Family LLC, JMH Family Trust, MLS Family LLC, MLS Family Trust, SGS Family LLC, SGS Family Trust
-
- Skilled Nursing Facility
- Mystic, CT
- NPI 1487374740
JMH Family LLC, JMH Family Trust, MLS Family LLC, MLS Family Trust, SGS Family LLC, SGS Family Trust
-
- Skilled Nursing Facility
- Baltimore, MD
- NPI 1649059973
JMH Family LLC, JMH Family Trust, MLS Family LLC, MLS Family Trust, SGS Family LLC, SGS Family Trust
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Worcester, MA
- NPI 1851389522
-
- Geriatric Medicine (Internal Medicine) Physician
- Worcester, MA
- NPI 1639466592
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Worcester, MA
- NPI 1851389522
Nursing home
-
- Geriatric Medicine (Internal Medicine) Physician
- Worcester, MA
- NPI 1639466592
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709078400000",
"number": "1619734456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 JULIO DR",
"city": "SHREWSBURY",
"state": "MA",
"postal_code": "015453010",
"telephone_number": "508-845-6786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 JULIO DR",
"city": "SHREWSBURY",
"state": "MA",
"postal_code": "015453010",
"telephone_number": "508-845-6786"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHREWSBURY SNF OPERATIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-28",
"last_updated": "2024-02-28",
"certification_date": "2024-02-28",
"status": "A",
"authorized_official_last_name": "LEVY",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "732-678-4524"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shrewsbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.