NPIMap

Organization Active NPI

Alliance Health of Southeastern Massachusetts, Inc.

Doing business as Alliance Health at Braintree

  • Skilled Nursing Facility
  • Braintree, MA
National Provider Identifier
1700873072
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0940372 Issued in MA
Legal business name
ALLIANCE HEALTH OF SOUTHEASTERN MASSACHUSETTS, INC.
Doing business as
Alliance Health at Braintree
Practice address
175 Grove St
Braintree, MA 02184-7253
Phone
(508) 238-7053
Fax
(508) 230-9637
NPI assigned
Oct 3, 2005
Last updated
Oct 6, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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

Authorized official

Name
Paul B Kemp
Title
Treasurer
Phone
(774) 348-2001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0940372 MA Primary

Addresses

Primary practice location

175 Grove St
Braintree, MA 02184-7253

Mailing address

175 Grove St
Braintree, MA 02184-7253
Phone (508) 238-7053

Other identifiers 1

IdentifierTypeStateIssuer
0940372MedicaidMA

Other names 1

  • Alliance Health at Braintree Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070914000348 MA Part A Provider - Skilled Nursing Facility 7911091442 Practice locations: Braintree, MA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1700873072. Details of each certification follow.

Skilled nursing facility certification: CCN 225769

Legal name
ALLIANCE HEALTH OF SOUTHEASTERN MASSACHUSETTS, INC.
Doing business as
ALLIANCE HEALTH AT BRAINTREE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 9, 2005
Last certification
Jul 25, 2024
Beds
101
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Alliance Health & Human Services
Organization structure
CorporationNon-profit
Incorporated
Oct 30, 2001 in MA
Enrollment address
175 Grove St
Braintree, MA 02184-7253
Nursing home name
ALLIANCE HEALTH AT BRAINTREE
Affiliated entity
ALLIANCE HEALTH & HUMAN SERVICES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Alliance Health at BraintreeCCN 225769 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Feb 9, 2005
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10196.6 residents per day on average
Chain
Alliance Health & Human Services8 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
22D0079447Alliance Health at Braintree175 Grove St, Braintree, MA 02184Certificate of waiverJun 6, 2027

National Provider Directory

National Provider Directory

Locations

175 Grove St
Braintree, MA 02184
Phone (617) 842-8244

Ownership & related parties

All disclosed owners & managing parties 20

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

NameRoleSinceShare
Peter B Zampine Individual Corporate DirectorBoard Member Nov 30, 2016
Lument Real Estate Capital LLC Organization, Columbus, OH LLC, Financial institution, For-profit 5% Or Greater Mortgage Interest Dec 31, 2024 75%
Christine Pierre Individual Operational/Managerial Control Aug 1, 2022
Adp of the SNF Mar 31, 2025
Organization, Minneapolis, MN For-profit Adp of the SNF Mar 28, 2025
James Bruce Riley Individual Corporate DirectorBoard Member Oct 3, 2007
Alliance Health Inc Organization, Southborough, MA Corporation, Non-profit, Chain home office 5% Or Greater Direct Ownership Interest Oct 3, 2007 100%
Tammy Brunetti Individual Corporate DirectorBoard Member Mar 6, 2019
Andrew R Calkins Individual Corporate DirectorBoard Member Mar 6, 2017
Linda B Corridan Individual Corporate DirectorBoard Chair Sep 17, 2008
Alliance Health Management Services LLC Organization, Southborough, MA LLC, Management services company, Non-profit Operational/Managerial Control Aug 1, 2013
Adp of the SNF Apr 4, 2025
Robert Grady Individual Operational/Managerial Control Apr 18, 2022
Adp of the SNF Mar 28, 2025
Erik J. Jones Individual Corporate DirectorBoard Member Nov 26, 2018
Christopher Robbins Individual Corporate DirectorBoard Member Oct 3, 2007
Arthur P Mourtzinos Individual Corporate DirectorBoard Member Jun 19, 2014
Michael O Jennings Individual Corporate DirectorBoard Member Sep 25, 2024
Thomas C Lavallee Individual Corporate OfficerClerk & Secretary Jun 22, 2016
Paul B Kemp Individual Corporate OfficerTreasurer Jun 22, 2016
Alfred a. Gray Individual Corporate DirectorBoard Member Mar 6, 2019
Jerome J Janisko Individual Corporate DirectorBoard Member Oct 3, 2007
Francis J Grady Individual Corporate OfficerPresident & Ceo Jun 22, 2016
Corporate DirectorBoard Member Jul 15, 2013

Owners & managing parties with NPI records 2

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

Facilities with the same owner 10

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

Practitioners & affiliated clinicians

Practitioners 5

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": "1128297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601942400000",
    "number": "1700873072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 GROVE ST",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021847253",
            "telephone_number": "508-238-7053",
            "fax_number": "508-230-9637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 GROVE ST",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021847253",
            "telephone_number": "508-238-7053",
            "fax_number": "508-230-9637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE HEALTH OF SOUTHEASTERN MASSACHUSETTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-03",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A",
        "authorized_official_last_name": "KEMP",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "774-348-2001"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "0940372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0940372",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alliance Health at Braintree",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Braintree, MA

Sources for this page

Verify at the official NPI Registry.