Active NPI
Winchester Nursing Center, Inc
- Skilled Nursing Facility
- Winchester, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0828
- Legal business name
- WINCHESTER NURSING CENTER, INC
- Practice address
- 223 Swanton St
Winchester, MA 01890-1968 - Phone
- (781) 729-9595
- NPI assigned
- Jun 10, 2005
- 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. Robert Driscoll
- Title
- Chief Operating Officer
- Phone
- (781) 994-2114
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 0828 | MA | Primary |
Addresses
Primary practice location
223 Swanton St
Winchester, MA 01890-1968
Mailing address
223 Swanton St
Winchester, MA 01890-1968
Phone (781) 729-9595
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 805189 | Other | MA | TUFTS/SECURE HORIZON |
| 2222535701 | Other | MA | BLUE CROSS BLUE SHIELD |
| 0912816 | Medicaid | MA | |
| 903182 | Other | MA | HARVARD PILGRIM HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20121029000253 | MA | Part A Provider - Skilled Nursing Facility | 4789834748 | Practice locations: Winchester, MA |
Skilled nursing facility certification: CCN 225357
- Legal name
- WINCHESTER NURSING CENTER, INC
- Doing business as
- WINCHESTER REHABILITATION & NURSING CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jul 1, 1989
- Last certification
- Nov 7, 2024
- Beds
- 121
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Stellar Health
- Organization structure
- Corporation
- Incorporated
- Aug 3, 1976 in MA
- Enrollment address
- 223 Swanton St
Winchester, MA 01890-1968 - Nursing home name
- WINCHESTER REHABILITATION AND NURSING CENTER
- Affiliated entity
- STELLAR HEALTH GROUP
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Winchester Rehabilitation and Nursing Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jul 1, 1989
- Medicare certification status
- Active
- Certified beds
- 121
- Chain
- Stellar Health Group
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 5
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 |
|---|---|---|---|
| Boston Master Tenant LLC | 5% Or Greater Indirect Ownership Interest | Dec 29, 2021 | 100% |
| Ariel T Erlichman | 5% Or Greater Indirect Ownership Interest | Dec 30, 2021 | 100% |
| Corporate Officer | Dec 30, 2021 | ||
| Corporate Director | Dec 30, 2021 | ||
| Anne L Pelrine | W-2 Managing Employee | Aug 13, 2014 | |
| Winchester Operations LLC | 5% Or Greater Direct Ownership Interest | Dec 29, 2021 | 100% |
| Nicholas Pugliese | W-2 Managing Employee | Dec 29, 2021 |
Facilities with the same owner 2
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Winchester, MA
- NPI 1588668198
Boston Master Tenant LLC
-
- Skilled Nursing Facility
- Woburn, MA
- NPI 1285638890
Boston Master Tenant LLC
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Winchester, MA
- NPI 1033158795
-
- Geriatric Medicine (Internal Medicine) Physician
- Chelmsford, MA
- NPI 1538152335
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Chelmsford, MA
- NPI 1538152335
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118361600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1519257600000",
"number": "1619971215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "223 SWANTON ST",
"city": "WINCHESTER",
"state": "MA",
"postal_code": "018901968",
"telephone_number": "781-729-9595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "223 SWANTON ST",
"city": "WINCHESTER",
"state": "MA",
"postal_code": "018901968",
"telephone_number": "781-729-9595"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WINCHESTER NURSING CENTER, INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-10",
"last_updated": "2018-02-22",
"status": "A",
"authorized_official_last_name": "DRISCOLL",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
"authorized_official_telephone_number": "781-994-2114",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MA",
"license": "0828",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS/SECURE HORIZON",
"identifier": "805189",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "2222535701",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0912816",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTH",
"identifier": "903182",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winchester, MA
- Winchester Hospital Inpatient Specialists PLLC
- Winchester Hospital Inpatient Specialists PLLC
- Winchester Laboratory Associates, Inc.
- Winchester Lahey Inpatient Specialists PLLC
- Winchester Medical Associates
- Winchester OB GYN Associates, PC
- Winchester OB/GYN Associates
- Winchester Optical Inc
- Winchester Oral Surgery PC
- Winchester Orthodontics P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.