NPIMap

Organization Active NPI

South Shore Hospital Inc.

Doing business as South Shore Visiting Nurse Association

  • Home Health Agency
  • Braintree, MA
National Provider Identifier
1669558474
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SOUTH SHORE HOSPITAL INC.
Doing business as
South Shore Visiting Nurse Association
Practice address
100 Bay State Drive
Braintree, MA 02184-9060
Phone
(781) 849-1710
NPI assigned
Oct 27, 2006
Last updated
Dec 28, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTH SHORE HOSPITAL INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 28, 2021

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

Authorized official

Name
Richard Edward Pascarelli
Title
Finance Manager
Phone
(781) 624-7891

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

100 Bay State Drive
Braintree, MA 02184-9060

Mailing address

30 Reservoir Park Dr
Rockland, MA 02370-1055
Phone (781) 617-7891

Other names 1

  • South Shore Visiting Nurse Association 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
O20060508000698 MA Part A Provider - Home Health Agency 4385546217 Practice locations: Rockland, MA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669558474. Details of each certification follow.

Home health agency certification: CCN 227082A

Legal name
SOUTH SHORE HOSPITAL INC.
Doing business as
SOUTH SHORE VNA
Organization structure
CorporationNon-profit
Incorporated
Nov 18, 1987 in MA
Enrollment address
30 Reservoir Park Dr
Rockland, MA 02370-1055
HHA Branch

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
South Shore Visiting Nurse AssociationCCN 227082
Overall star rating
3 of 5
Ownership
Non-Profit
Certified
Jul 1, 1966
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).

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
22D0890716South Shore Hospital Vna & Home Health30 Reservoir Park Drive, Rockland, MA 02370Certificate of waiverOct 1, 2026

National Provider Directory

National Provider Directory
Tax ID family
South Shore Hospital in4 organizations share this tax ID, including this one
Part of
South Shore Hospital in

Other organizations with this tax ID 3

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

Locations

100 Bay State Dr
Braintree, MA 02184
Phone (781) 356-0520

30 Reservoir Park Dr
Rockland, MA 02370
Phone (781) 624-7070

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
Michael Sheehan Individual Corporate Director Feb 1, 2024
Ellen Essenfeld Individual Corporate Director Feb 1, 2024
Paul Watanabe Individual Corporate Director Feb 1, 2024
Alan McKim Individual Corporate Director Feb 1, 2024
Amanda R Marchica Individual Corporate Director Feb 1, 2024
Thomas McCarthy Individual Corporate Director Feb 1, 2024
Pamela O'Leary Individual Corporate Director Feb 1, 2024
Allen L Smith Individual Corporate Director Feb 1, 2024
Paula Becker Individual Corporate Director Feb 1, 2024
Joseph Driscoll Individual Corporate Director Feb 1, 2024
Kimberly O Dever Individual Corporate Director Feb 1, 2024
Christopher Ducko Individual Corporate Director Feb 1, 2024
Stephen Jenney Individual Corporate OfficerCfo Jan 1, 2025
Pamela D Whelton Individual Corporate Director Feb 1, 2024
Grace Lee Individual Corporate Director Feb 1, 2024
Helen Garvey Individual Corporate Director Feb 1, 2024
Kenneth Quigley Individual Corporate Director Feb 1, 2024
Richard Pascarelli Individual W-2 Managing Employee Feb 1, 2024

Owners & managing parties with NPI records 2

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

Practitioners & affiliated clinicians

Affiliated clinicians 230

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 230

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640649600000",
    "number": "1669558474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 RESERVOIR PARK DR",
            "city": "ROCKLAND",
            "state": "MA",
            "postal_code": "023701055",
            "telephone_number": "781-617-7891",
            "fax_number": "781-792-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BAY STATE DRIVE",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021849060",
            "telephone_number": "781-849-1710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SHORE HOSPITAL INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTH SHORE HOSPITAL INC.",
        "enumeration_date": "2006-10-27",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A",
        "authorized_official_last_name": "PASCARELLI",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "FINANCE MANAGER",
        "authorized_official_telephone_number": "781-624-7891"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "South Shore Visiting Nurse Association",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "South Shore Visiting Nurse Association",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Braintree, MA

Sources for this page

Verify at the official NPI Registry.