Organization Active NPI

Town of Nantucket

  • Nursing Facility/Intermediate Care Facility
  • Nantucket, MA
National Provider Identifier
1720077738
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
0851 Issued in MA
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0913162MedicaidMA

Other names 1

  • Our Island Home Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
GovernmentNon-profit
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 HomeCCN 225772 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Government - City
Certified
Aug 1, 2007
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4532.8 residents per day on average

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
22D0888838Our Island Home Nursing Home9 East Creek Road, Nantucket, MA 02554Certificate of waiverJul 13, 2028

National Provider Directory

National Provider Directory
Tax ID family
Town of Nantucket3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

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.

NameRoleSinceShare
Rachel K Chretien Individual Corporate Director Feb 7, 2011 100%
W-2 Managing Employee Feb 7, 2011
Operational/Managerial Control Feb 7, 2011 100%
Heather Allyson Dyer Individual W-2 Managing Employee Feb 12, 2017 25%
C. Elizabeth a Gibson Individual Corporate Officer Apr 18, 1995 100%
Town of Nantucket Organization, Nantucket, MA Non-profit 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.

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.

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

Verify at the official NPI Registry.