NPIMap

Organization Active NPI

548 Elm Street Operating Company, LLC

Doing business as Calvin Coolidge Nursing &Rehab Center of Northhampton

  • Skilled Nursing Facility
  • Northampton, MA
National Provider Identifier
1669471389
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0818 Issued in MA
Legal business name
548 ELM STREET OPERATING COMPANY, LLC
Doing business as
Calvin Coolidge Nursing &Rehab Center of Northhampton
Practice address
548 Elm Street
Northampton, MA 01060
Phone
(413) 586-3150
Fax
(413) 584-7720
NPI assigned
Jul 14, 2005
Last updated
Dec 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2023

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

Authorized official

Name
Emily Vazquez
Title
VP, Special Projects
Phone
(978) 930-6051

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0818 MA Primary

Addresses

Primary practice location

548 Elm Street
Northampton, MA 01060

Mailing address

548 Elm Street
Northampton, MA 01060
Phone (413) 586-3150

Other identifiers 1

IdentifierTypeStateIssuer
0926779MedicaidMA

Other names 1

  • Calvin Coolidge Nursing &Rehab Center of Northhampton Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120920000504 MA Part A Provider - Skilled Nursing Facility 1254241623 Practice locations: Northampton, MA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669471389. Details of each certification follow.

Skilled nursing facility certification: CCN 225257

Legal name
548 ELM STREET OPERATING COMPANY, LLC
Doing business as
CARE ONE AT NORTHAMPTON
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 1, 1978
Last certification
Sep 3, 2024
Beds
125
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Care One
Organization structure
LLCProprietary
Incorporated
Jan 10, 2003 in DE
Enrollment address
548 Elm Street
Calvin Coolidge Nursing and Rehabilitation Center
Northampton, MA 01060-2832
Nursing home name
CARE ONE AT NORTHAMPTON
Affiliated entity
CAREONE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Care One at NorthamptonCCN 225257 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Feb 1, 1978
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
125104.1 residents per day on average
Chain
Careone37 facilities in the chain
Penalties (3 years)
2Fines totaling $39,819

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Healthbridge Management LLC Organization, Fort Lee, NJ For-profit Operational/Managerial Control Jul 1, 2003
David Baruch Individual Corporate Officer Dec 1, 2021
W-2 Managing Employee Dec 1, 2021
Care Realty, LLC Organization, Fort Lee, NJ For-profit 5% Or Greater Indirect Ownership Interest Apr 30, 2002
Thci of Massachusetts, LLC Organization, Fort Lee, NJ For-profit 5% Or Greater Direct Ownership Interest Jul 1, 2003
Daniel E Straus Individual 5% Or Greater Indirect Ownership Interest Jul 1, 2003
Des-I 2016 Grat Organization, Fort Lee, NJ 5% Or Greater Indirect Ownership Interest Dec 1, 2021

Facilities with the same owner 39

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

View all 39

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.

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": "1121299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702598400000",
    "number": "1669471389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "548 ELM STREET",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "01060",
            "telephone_number": "413-586-3150",
            "fax_number": "413-584-7720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "548 ELM STREET",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "01060",
            "telephone_number": "413-586-3150",
            "fax_number": "413-584-7720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "548 ELM STREET OPERATING COMPANY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-14",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "VP, SPECIAL PROJECTS",
        "authorized_official_telephone_number": "978-930-6051"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "0818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0926779",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Calvin Coolidge Nursing &Rehab Center of Northhampton",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Calvin Coolidge Nursing &Rehab Center of Northhampton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Northampton, MA

Sources for this page

Verify at the official NPI Registry.