Organization Active NPI

Lewiston Operations, LLC

Doing business as Marshwood Center

  • Skilled Nursing Facility
  • Lewiston, ME
National Provider Identifier
1700948122
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1956 Issued in ME
Legal business name
LEWISTON OPERATIONS, LLC
Doing business as
Marshwood Center
Practice address
33 Roger St
Lewiston, ME 04240-3328
Phone
(207) 784-0108
Fax
(207) 784-0752
NPI assigned
Dec 14, 2006
Last updated
Jan 31, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Authorized official

Name
Michael Theodore Berg
Title
Assistant Secretary
Phone
(610) 444-6350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1956 ME Primary

Addresses

Primary practice location

33 Roger St
Lewiston, ME 04240-3328

Mailing address

101 E State St
Kennett Square, PA 19348-3109
Phone (610) 925-4436

Other identifiers 1

IdentifierTypeStateIssuer
432468900MedicaidME

Other names 1

  • Marshwood Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070104000231 ME Part A Provider - Skilled Nursing Facility 9234139809 Practice locations: Lewiston, ME

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1700948122. Details of each certification follow.

Skilled nursing facility certification: CCN 205072

Legal name
LEWISTON OPERATIONS LLC
Doing business as
MARSHWOOD CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 4, 1991
Last certification
Dec 19, 2024
Beds
108
Ownership / control type
Corporation
Multi-facility organization
genesis healthcare
Organization structure
LLCProprietary
Incorporated
Sep 19, 2006 in ME
Enrollment address
33 Roger Street
Lewiston, ME 04240-3328
Nursing home name
MARSHWOOD CENTER
Affiliated entity
GENESIS HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Marshwood CenterCCN 205072 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Oct 4, 1991
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
108101.4 residents per day on average
Chain
Genesis Healthcare184 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Lewiston Operations LLC2 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

33 Roger St
Lewiston, ME 04240
Phone (207) 784-0108

Ownership & related parties

All disclosed owners & managing parties 24

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

NameRoleSinceShare
Laura Bridgeford Individual Corporate OfficerTreasurer Jun 1, 2024
Organization, Kennett Square, PA LLC Adp of the SNF Feb 24, 2025
HCCF Management Group XI LLC Organization, Atlanta, GA For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 2, 2015 14.69%
Gen Operations I LLC Organization, Kennett Square, PA For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 1, 2011 100%
Beth Barends Individual Operational/Managerial Control Mar 1, 2024
Adp of the SNF Feb 24, 2025
Gen Operations II LLC Organization, Kennett Square, PA For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 1, 2011 100%
Diane Louise Morris Individual Operational/Managerial Control Dec 23, 2023
Adp of the SNF Dec 27, 2023
Genesis Healthcare of Maine LLC Organization, Kennett Square, PA For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Aug 1, 2008 100%
FC-Gen Operations Investment LLC Organization, Kennett Square, PA For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 1, 2011 100%
Sundance Rehabilitation Holdco Inc Organization, Kennett Square, PA Corporation 5% Or Greater Indirect Ownership Interest Feb 2, 2015 5.81%
Daniel Stadler Individual Operational/Managerial Control Mar 1, 2024
Adp of the SNF Feb 24, 2025
Genesis Healthcare LLC Organization, Kennett Square, PA For-profit, Chain home office, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 1, 2011 100%
Sun Healthcare Group Inc Organization, Kennett Square, PA For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 2, 2015 25.75%
Organization, Kennett Square, PA LLC Adp of the SNF Feb 24, 2025
Welltower Op, LLC Organization, Toledo, OH LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 1, 2024 5.7%
Arnold M Whitman Individual 5% Or Greater Indirect Ownership InterestN/a Feb 2, 2015 10.8%
Genesis Healthcare Inc Organization, Kennett Square, PA For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 2, 2015 100%
Zac Properties XI LLC Organization, Philadelphia, PA For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 2, 2015 8.46%
Steven E Fishman Individual 5% Or Greater Indirect Ownership InterestN/a Dec 1, 2012 7.6%
Avi Pinchas Mendelson Individual Corporate OfficerPresident, Cfo Jun 1, 2024
Michael T Berg Individual Corporate OfficerCorporate Secretary Dec 1, 2012
Organization, Portland, ME LLC Adp of the SNF Feb 24, 2025
GHC Holdings LLC Organization, Kennett Square, PA For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 1, 2008 100%
Genesis Holdings LLC Organization, Kennett Square, PA For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 2, 2015 100%

Owners & managing parties with NPI records 1

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

Facilities with the same owner 178

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

View all 178

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

Affiliated clinicians 6

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": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1700948122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E STATE ST",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193483109",
            "telephone_number": "610-925-4436",
            "fax_number": "610-925-4351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 ROGER ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042403328",
            "telephone_number": "207-784-0108",
            "fax_number": "207-784-0752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWISTON OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "THEODORE",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "610-444-6350"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "ME",
            "license": "1956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432468900",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marshwood Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lewiston, ME

Sources for this page

Verify at the official NPI Registry.