Active NPI
Henry C. Nevins Home, Inc.
- Skilled Nursing Facility
- Methuen, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0857
- Legal business name
- HENRY C. NEVINS HOME, INC.
- Practice address
- Ten Ingalls CT.
Methuen, MA 01844-3712 - Phone
- (978) 682-7611
- Fax
- (978) 651-2425
- NPI assigned
- Jan 4, 2007
- 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
- Ms. Joyce Shannon
- Title
- Executive Director
- Phone
- (978) 645-2403
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 0857 | MA | Primary |
Addresses
Primary practice location
Ten Ingalls CT.
Methuen, MA 01844-3712
Mailing address
Ten Ingalls CT.
Methuen, MA 01844-3712
Phone (978) 682-7611
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0913618 | Medicaid | MA | |
| 225409 | Other | MA | MEDICARE |
Other names 1
- Nevins Nursing and Rehabilitation Centre
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111207000858 | MA | Part A Provider - Skilled Nursing Facility | 6204001993 | Practice locations: Methuen, MA |
Skilled nursing facility certification: CCN 225409
- Legal name
- HENRY C. NEVINS HOME INC.
- Doing business as
- THE NEVINS NURSING AND REHABILITATION CENTRE
- Certification status
- Active
- Provider type (POS)
- Nursing home โ SNF/NF dual certification
- Participating since
- Jul 1, 1990
- Last certification
- Dec 12, 2024
- Beds
- 153
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Other
- Incorporated
- Oct 16, 1979 in MA
- Enrollment address
- 10 Ingalls CT
Methuen, MA 01844-3712 - Nursing home name
- NEVINS NURSING & REHABILITATION CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Nevins Nursing & Rehabilitation Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Jul 1, 1990
- Medicare certification status
- Active
- Certified beds
- 153
- Penalties (3 years)
- 1
National Provider Directory
National Provider Directory- Tax ID family
- Henry C Nevins Home Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Methuen, MA
- NPI 1881680031
Locations
10 Ingalls Ct
Methuen, MA 01844
Phone (978) 682-7611
Ownership & related parties
All disclosed owners & managing parties 3
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 |
|---|---|---|---|
| Jeffrey Gangi | 5% Or Greater Indirect Ownership Interest | Sep 15, 2025 | |
| Operational/Managerial Control | Sep 15, 2025 | ||
| Adp of the SNF | Mar 10, 2026 | ||
| Sharon Walsh | 5% Or Greater Indirect Ownership Interest | Sep 1, 2025 | |
| Corporate Officer | Sep 1, 2025 | 100% | |
| Operational/Managerial Control | Sep 1, 2025 | ||
| Adp of the SNF | Apr 23, 2026 |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Hospitalist Physician
- Beverly, MA
- NPI 1033559414
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": "1167868800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1641859200000",
"number": "1669529731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "TEN INGALLS CT.",
"city": "METHUEN",
"state": "MA",
"postal_code": "018443712",
"telephone_number": "978-682-7611",
"fax_number": "978-651-2425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "TEN INGALLS CT.",
"city": "METHUEN",
"state": "MA",
"postal_code": "018443712",
"telephone_number": "978-682-7611",
"fax_number": "978-651-2425"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HENRY C. NEVINS HOME, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-04",
"last_updated": "2022-01-11",
"certification_date": "2022-01-11",
"status": "A",
"authorized_official_last_name": "SHANNON",
"authorized_official_first_name": "JOYCE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "978-645-2403",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MA",
"license": "0857",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0913618",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "225409",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Nevins Nursing and Rehabilitation Centre",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Nevins Nursing and Rehabilitation Centre",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Methuen, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; 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.