NPIMap

Organization Active NPI

Jewish Rehabilitation Center for Aged of the North Shore, Inc.

Doing business as Jeffrey & Susan Brudnick Center for Living

  • Skilled Nursing Facility
  • Peabody, MA
National Provider Identifier
1730287632
Registry record updated Mar 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
JEWISH REHABILITATION CENTER FOR AGED OF THE NORTH SHORE, INC.
Doing business as
Jeffrey & Susan Brudnick Center for Living
Practice address
240 Lynnfield St
Peabody, MA 01960-5055
Phone
(978) 471-5100
Fax
(978) 471-5508
NPI assigned
Sep 21, 2006
Last updated
Mar 1, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2017

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

Authorized official

Name
Mr. Jeffrey M. Landa
Title
Cfo
Phone
(978) 471-5100

Specialties & licenses 1

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

Addresses

Primary practice location

240 Lynnfield St
Peabody, MA 01960-5055

Mailing address

240 Lynnfield St
Peabody, MA 01960-5055
Phone (978) 471-5100

Other identifiers 1

IdentifierTypeStateIssuer
0903485MedicaidMA

Other names 1

  • Jeffrey & Susan Brudnick Center for Living Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110712000648 MA Part A Provider - Skilled Nursing Facility 2961670294 Practice locations: Peabody, MA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1730287632. Details of each certification follow.

Skilled nursing facility certification: CCN 225472

Legal name
JEWISH REHABILITATION CENTER FOR AGED OF THE NORTH SHORE INC
Doing business as
JEFFREY & SUSAN BRUDNICK CENTER FOR LIVING
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 1, 1990
Last certification
Jan 30, 2025
Beds
180
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Chelsea Jewish Lifecare
Organization structure
CorporationNon-profit
Enrollment address
240 Lynnfield St
Peabody, MA 01960-5055
Nursing home name
JEFFREY & SUSAN BRUDNICK CENTER FOR LIVING
Affiliated entity
CHELSEA JEWISH LIFECARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Jeffrey & Susan Brudnick Center for LivingCCN 225472 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jul 1, 1990
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
180140.7 residents per day on average
Chain
Chelsea Jewish Lifecare5 facilities in the chain
Penalties (3 years)
1Fines totaling $10,194

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
22D0650143Jeffrey & Susan Brudnick Center for Living240 Lynnfield Street, Peabody, MA 01960Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Jeffrey and Susan Brudnick Center for Li3 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.

Ownership & related parties

All disclosed owners & managing parties 26

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

NameRoleSinceShare
Marco Gomez Individual Operational/Managerial Control Dec 3, 2007
Adp of the SNF Dec 3, 2007
Jeffrey Brudnick Individual Corporate DirectorDirector Nov 26, 2014 10%
Operational/Managerial Control Nov 26, 2014
Sharon Forman Individual Corporate DirectorDirector Nov 26, 2014
Operational/Managerial Control Nov 26, 2016
Stuart a Anfang Individual Corporate DirectorDirector Jan 1, 2020 10%
Operational/Managerial Control Jan 1, 2020
Hernando Rodriguez Individual Operational/Managerial Control Apr 18, 2017
Adp of the SNF Apr 18, 2017
Ronald Nelson Rosen Individual Operational/Managerial Control Nov 1, 2007
Adp of the SNF Apr 3, 2025
Vanessa Desesa Individual Operational/Managerial Control Jan 5, 2026
Adp of the SNF Jan 5, 2026
Susan Goldsmith Individual Corporate Director May 1, 2018 10%
Operational/Managerial Control May 1, 2018
Jennifer Santerre Individual Corporate OfficerCfo Jul 1, 2021
Operational/Managerial Control Jul 1, 2021
Baker Tilly US LLP Organization, Madison, WI For-profit Operational/Managerial Control Feb 19, 2025
Adp of the SNF Apr 3, 2025
Tammy Starion Individual Operational/Managerial Control Aug 22, 2016
Adp of the SNF Feb 16, 2016
Michael Millard Individual Operational/Managerial Control Apr 8, 2013
Adp of the SNF Apr 8, 2013
Elizabeth Mullen Individual Corporate OfficerClerk Nov 26, 2014 10%
Corporate Director Nov 26, 2014 10%
Legacy Lifecare Inc Organization, Pearbody, MA Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Jan 1, 2021 100%
Maureen Hentosh Individual Operational/Managerial Control May 21, 2018
Adp of the SNF May 21, 2018
Adam S Berman Individual Corporate OfficerPresident Nov 26, 2014 10%
Corporate DirectorPresident Nov 26, 2014 10%
Operational/Managerial Control Jan 1, 2012
Judy Weiss Individual Corporate Director Nov 26, 2014 10%
Operational/Managerial Control Nov 26, 2014
Douglas Fiebelkorn Individual Corporate Director Nov 1, 2022 10%
Operational/Managerial Control Nov 1, 2022
Lisa Van Eck Individual Operational/Managerial Control Feb 25, 2007
Adp of the SNF Feb 25, 2007
Gilda Richman Individual Corporate OfficerChair Nov 26, 2014 10%
Corporate Director Nov 26, 2014 10%
Operational/Managerial Control Nov 26, 2015
Chelsea Jewish Lifecare Inc Organization, Chelsea, MA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 2017 100%
Operational/Managerial Control Jan 1, 2021
Adp of the SNF Mar 28, 2025
Baker Tilly Advisory Group LP Organization, Madison, WI For-profit Operational/Managerial Control Feb 19, 2024
Adp of the SNF Apr 3, 2025
Barry S Berman Individual Corporate OfficerTreasurer Nov 26, 2014 10%
Corporate DirectorDirector Jan 1, 1980 10%
Operational/Managerial Control Jan 1, 1980
Howard Greenspan Individual Corporate Director Jan 1, 2018
Operational/Managerial Control Jan 1, 2018
Ashley Sacco Individual Operational/Managerial Control Sep 10, 2019
Adp of the SNF Sep 10, 2019
Donna Crescenzo Individual Operational/Managerial Control Dec 13, 2010

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 14

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

View all 14

Practitioners & affiliated clinicians

Practitioners 2

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 3

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": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488326400000",
    "number": "1730287632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 LYNNFIELD ST",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019605055",
            "telephone_number": "978-471-5100",
            "fax_number": "978-471-5508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 LYNNFIELD ST",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019605055",
            "telephone_number": "978-471-5100",
            "fax_number": "978-471-5508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEWISH REHABILITATION CENTER FOR AGED OF THE NORTH SHORE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2017-03-01",
        "status": "A",
        "authorized_official_last_name": "LANDA",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "978-471-5100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0903485",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jeffrey & Susan Brudnick Center for Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Peabody, MA

Sources for this page

Verify at the official NPI Registry.