NPIMap

Organization Active NPI

Fairlawn Medical Investors, LLC

Doing business as Life Care Center of Leominster

  • Skilled Nursing Facility
  • Leominster, MA
National Provider Identifier
1669435616
Registry record updated Jul 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0091 Issued in MA
Legal business name
FAIRLAWN MEDICAL INVESTORS, LLC
Doing business as
Life Care Center of Leominster
Practice address
370 West St
Leominster, MA 01453-2073
Phone
(978) 343-4411
Fax
(978) 343-6464
NPI assigned
Apr 10, 2006
Last updated
Jul 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2026

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

Authorized official

Name
Cindy S Cross
Title
Assistant Secretary
Phone
(423) 473-5867

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0091 MA Primary

Addresses

Primary practice location

370 West St
Leominster, MA 01453-2073

Mailing address

3001 Keith St NW
Cleveland, TN 37312-3713
Phone (423) 473-5751

Other identifiers 1

IdentifierTypeStateIssuer
0920908MedicaidMA

Other names 1

  • Life Care Center of Leominster Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050624000480 MA Part A Provider - Skilled Nursing Facility 8123063690 Practice locations: Leominster, MA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669435616. Details of each certification follow.

Skilled nursing facility certification: CCN 225038

Legal name
FAIRLAWN MEDICAL INVESTORS, LLC
Doing business as
LIFE CARE CENTER OF LEOMINSTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1967
Last certification
Jul 1, 2024
Beds
133
Ownership / control type
Corporation
Multi-facility organization
Life
Organization structure
LLCProprietary
Enrollment address
370 West St
Leominster, MA 01453-2073
Nursing home name
LIFE CARE CENTER OF LEOMINSTER
Affiliated entity
LIFE CARE CENTERS OF AMERICA

Care Compare: Nursing home

Medicare Care Compare
Listed as
Life Care Center of LeominsterCCN 225038 · All quality measures
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
For profit - Corporation
Certified
Jan 1, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
133116.7 residents per day on average
Chain
Life Care Centers of America194 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D0068833Life Care Center of Leominster370 West St, Leominster, MA 01453Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Fairlawn Medical, Inc. Organization, Cleveland, TN Corporation, For-profit Operational/Managerial Control Jul 15, 2019
Direct Ownership Interest Apr 19, 2004 1%
Forrest L Preston Individual 5% Or Greater Direct Ownership InterestMember Apr 19, 2004 99%
Adp of the SNF Oct 25, 2012
Indirect Ownership Interest Apr 19, 2004 1%
Terry Henry Individual Corporate OfficerAssist. Treasurer of MGMT. Co. Jun 30, 2005
Todd Fletcher Individual Corporate OfficerPresident Nov 2, 2020
Corporate DirectorDirector May 1, 2021
Samantha Mague Individual Operational/Managerial Control Aug 21, 2022
Managing Control - Governing BodyAdministrator Aug 21, 2022
Adp of the SNF Mar 13, 2025
Aubrey Preston Individual Operational/Managerial Control Mar 6, 2025
Joan E Thurmond Individual Corporate OfficerAssist. Secretary of MGMT. Co. Jun 30, 2005
Cindy S Cross Individual Corporate OfficerVP / Assist Secretary of MGMT. Co. Jun 30, 2005
Tracy Pinnock Individual Operational/Managerial Control Nov 12, 2024
Managing Control - Governing BodyDirector of Nursing Nov 12, 2024
Richard Swanker Individual Corporate OfficerChief Tax Officer of MGMT. Co. Apr 1, 2011
Corporate DirectorDirector of MGMT. Co. Jan 1, 2022
Life Care Centers of America, Inc. Organization, Cleveland, TN Corporation, Management services company, For-profit, Chain home office Operational/Managerial Control Jun 30, 2005
Adp of the SNF Mar 13, 2025
Ashraf F Elkerm Individual Operational/Managerial Control Dec 1, 2017
Adp of the SNF Mar 13, 2025
Zofia M. Long Individual Operational/Managerial Control Jun 30, 2005
Managing Control - Governing BodyDivision Vice President Jun 30, 2005
Fairlawn Medical Investors, LLC Organization, Cleveland, TN LLC, For-profit Operational/Managerial Control Jun 30, 2005
Adp of the SNF Oct 25, 2012
Lisa M Lay Individual Corporate OfficerSecretary of MGMT. Co. Feb 9, 2018
Corporate DirectorDirector of MGMT. Co. Apr 24, 2017
James Ziegler Individual Corporate OfficerVP / Treasurer of MGMT. Co. Jun 30, 2005
Corporate DirectorDirector of MGMT. Co. Jun 30, 2005
Organization, Cleveland, TN LLC, For-profit Adp of the SNF Oct 25, 2012

Owners & managing parties with NPI records 26

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 26

Facilities with the same owner 193

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 193

Practitioners & affiliated clinicians

Practitioners 4

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.

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": "1144627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783814400000",
    "number": "1669435616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 KEITH ST NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373123713",
            "telephone_number": "423-473-5751",
            "fax_number": "423-339-8342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 WEST ST",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014532073",
            "telephone_number": "978-343-4411",
            "fax_number": "978-343-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRLAWN MEDICAL INVESTORS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-10",
        "last_updated": "2026-07-12",
        "certification_date": "2026-07-12",
        "status": "A",
        "authorized_official_last_name": "CROSS",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "423-473-5867"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "0091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0920908",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "284 Merchant St",
            "city": "Ste Genevieve",
            "state": "MO",
            "country_code": "US",
            "postal_code": "636701610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Life Care Center of Leominster",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Leominster, MA

Sources for this page

Verify at the official NPI Registry.