Organization Active NPI

Henry C. Nevins Home, Inc.

  • Skilled Nursing Facility
  • Methuen, MA
National Provider Identifier
1669529731
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0857 Issued in MA
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

Updated by the provider on Jan 11, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0913618MedicaidMA
225409OtherMAMEDICARE

Other names 1

  • Nevins Nursing and Rehabilitation Centre Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
OtherNon-profit
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 CenterCCN 225409 ยท All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jul 1, 1990
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
153137.8 residents per day on average
Penalties (3 years)
1Fines totaling $9,318

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Henry C Nevins Home Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

NameRoleSinceShare
Jeffrey Gangi Individual 5% Or Greater Indirect Ownership InterestAdministrator Sep 15, 2025
Operational/Managerial Control Sep 15, 2025
Adp of the SNF Mar 10, 2026
Sharon Walsh Individual 5% Or Greater Indirect Ownership Interest Sep 1, 2025
Corporate OfficerCfo Sep 1, 2025 100%
Operational/Managerial Control Sep 1, 2025
Individual 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.

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

Verify at the official NPI Registry.