Active NPI
Town of Nantucket
- Nursing Facility/Intermediate Care Facility
- Nantucket, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- License
- 0851
- Legal business name
- TOWN OF NANTUCKET
- Practice address
- 9 E Creek Rd
Nantucket, MA 02554-4015 - Phone
- (508) 825-6490
- Fax
- (508) 228-6875
- NPI assigned
- Oct 21, 2005
- Last updated
- Sep 28, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Pamela Grantham Meriam, LICSW
- Title
- Administrator
- Phone
- (508) 825-6490
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | 0851 | MA | Primary |
Addresses
Primary practice location
9 E Creek Rd
Nantucket, MA 02554-4015
Mailing address
9 E Creek Rd
Nantucket, MA 02554-4015
Phone (508) 825-6490
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0913162 | Medicaid | MA |
Other names 1
- Our Island Home
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061019000606 | MA | Part A Provider - Skilled Nursing Facility | 5698771335 | Practice locations: Nantucket, MA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1720077738. Details of each certification follow.
Skilled nursing facility certification: CCN 225772
- Legal name
- TOWN OF NANTUCKET
- Doing business as
- OUR ISLAND HOME
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Aug 1, 2007
- Last certification
- May 9, 2024
- Beds
- 45
- Ownership / control type
- City
- Organization structure
- Government
- Enrollment address
- 9 E Creek Rd
Nantucket, MA 02554-4015 - Nursing home name
- OUR ISLAND HOME
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: Nursing home
Medicare Care Compare- Listed as
- Our Island Home
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Government - City
- Certified
- Aug 1, 2007
- Medicare certification status
- Active
- Certified beds
- 45
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D0888838 | Our Island Home Nursing Home | Certificate of waiver | Jul 13, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Town of Nantucket
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Public Health or Welfare Agency
- Nantucket, MA
- NPI 1205760923
-
- Ambulance
- Nantucket, MA
- NPI 1265416085
Locations
16 Broad St
Nantucket, MA 02554
9 E Creek Rd
Nantucket, MA 02554
Phone (508) 228-0462
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Rachel K Chretien | Corporate Director | Feb 7, 2011 | 100% |
| W-2 Managing Employee | Feb 7, 2011 | ||
| Operational/Managerial Control | Feb 7, 2011 | 100% | |
| Heather Allyson Dyer | W-2 Managing Employee | Feb 12, 2017 | 25% |
| C. Elizabeth a Gibson | Corporate Officer | Apr 18, 1995 | 100% |
| Town of Nantucket | 5% Or Greater Direct Ownership Interest | Sep 15, 1981 | 100% |
| Operational/Managerial Control | Feb 7, 2011 | 100% |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Psychiatric/Mental Health Nurse Practitioner
- Hyannis, MA
- NPI 1336972645
W-2 Managing Employee
-
- Ambulance
- Nantucket, MA
- NPI 1265416085
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Medicine Physician
- Falmouth, MA
- NPI 1164603361
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129852800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790553600000",
"number": "1720077738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 E CREEK RD",
"city": "NANTUCKET",
"state": "MA",
"postal_code": "025544015",
"telephone_number": "508-825-6490",
"fax_number": "508-228-6875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 E CREEK RD",
"city": "NANTUCKET",
"state": "MA",
"postal_code": "025544015",
"telephone_number": "508-825-6490",
"fax_number": "508-228-6875"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWN OF NANTUCKET",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-21",
"last_updated": "2026-09-28",
"certification_date": "2026-09-28",
"status": "A",
"authorized_official_last_name": "MERIAM",
"authorized_official_first_name": "PAMELA",
"authorized_official_middle_name": "GRANTHAM",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "508-825-6490",
"authorized_official_credential": "LICSW"
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "MA",
"license": "0851",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0913162",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Our Island Home",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Nantucket, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.