NPIMap

Organization Active NPI

519 Main St., Inc.

Doing business as Thomas Upham House

  • Skilled Nursing Facility
  • Medfield, MA
National Provider Identifier
1710048525
Registry record updated Dec 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0400 Issued in MA
Legal business name
519 MAIN ST., INC.
Doing business as
Thomas Upham House
Practice address
519 Main St
Medfield, MA 02052-2522
Phone
(508) 359-6050
Fax
(508) 359-7654
NPI assigned
Dec 13, 2006
Last updated
Dec 16, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2011

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

Authorized official

Name
Peter H. Thisse
Title
Controller
Phone
(781) 762-0703

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0400 MA Primary

Addresses

Primary practice location

519 Main St
Medfield, MA 02052-2522

Mailing address

80 Access Rd
Norwood, MA 02062-5237
Phone (781) 762-0703

Other identifiers 2

IdentifierTypeStateIssuer
0916986MedicaidMA
0692760001OtherMAMEDICARE NSC

Other names 1

  • Thomas Upham House Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041008000599 MA Part A Provider - Skilled Nursing Facility 3476512088 Practice locations: Medfield, MA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1710048525. Details of each certification follow.

Skilled nursing facility certification: CCN 225645

Legal name
519 MAIN ST., INC.
Doing business as
THOMAS UPHAM HOUSE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 1, 1994
Last certification
Oct 18, 2024
Beds
42
Ownership / control type
Corporation
Organization structure
CorporationProprietary
Incorporated
Jul 10, 1986 in MA
Enrollment address
519 Main St
Medfield, MA 02052-2522
Nursing home name
THOMAS UPHAM HOUSE
Affiliated entity
REHABILITATION ASSOCIATES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Thomas Upham HouseCCN 225645 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Sep 1, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4237.6 residents per day on average
Chain
Rehabilitation Associates6 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
22D0650190Thomas Upham House519 Main St, Medfield, MA 02052Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

519 Main St
Medfield, MA 02052
Phone (508) 359-6050

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Denise Allen Individual Operational/Managerial ControlAdministrator Jul 14, 2013
Peter H Thisse Individual Corporate OfficerController Jan 3, 1990
Corporate Director Oct 8, 2004
Nicholas H Thisse Individual 5% Or Greater Direct Ownership Interest Jun 10, 1986 100%
Corporate Director Oct 13, 2004
Rehabilitation Associates Inc Organization, Norwood, MA Corporation, Management services company Operational/Managerial Control Jun 10, 1986 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 5

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

Practitioners & affiliated clinicians

Practitioners 3

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": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323993600000",
    "number": "1710048525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 ACCESS RD",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020625237",
            "telephone_number": "781-762-0703",
            "fax_number": "781-762-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 MAIN ST",
            "city": "MEDFIELD",
            "state": "MA",
            "postal_code": "020522522",
            "telephone_number": "508-359-6050",
            "fax_number": "508-359-7654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "519 MAIN ST., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2011-12-16",
        "status": "A",
        "authorized_official_last_name": "THISSE",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "781-762-0703"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "0400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0916986",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NSC",
            "identifier": "0692760001",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thomas Upham House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Medfield, MA

Sources for this page

Verify at the official NPI Registry.