Lincoln Road Operations LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

LINCOLN ROAD OPERATIONS LLC

Doing business as

Saugus Rehabilitation and Nursing

Practice address

266 Lincoln Ave
Saugus, MA 01906-3037

Phone

(781) 233-6830

NPI assigned

Aug 20, 2024

Last updated

Aug 20, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Yisroel C LevineNPI 1174222590

Title

Managing Member

Phone

(248) 635-4650

Specialties & licenses 1

Addresses

Other names 1

• Saugus Rehabilitation and Nursing Doing business as

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1740013481. Details of each certification follow.

• CCN 225147A Skilled nursing facility · Details

Skilled nursing facility certification: CCN 225147A

Legal name

LINCOLN ROAD OPERATIONS LLC

Doing business as

SAUGUS CENTER

Organization structure

LLCProprietary

Enrollment address

266 Lincoln Ave
Saugus, MA 01906-3037

Nursing home name

SAUGUS CENTER

All disclosed owners & managing parties 10

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

Owners & managing parties with NPI records 1

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

• Nelson Kisob Aweh, MD

  • Internal Medicine Physician
  • Cambridge, MA
  • NPI 1891923199

  Adp of the SNF

  CMS ownership

Facilities with the same owner 3

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

• Locust Street Operations LLC

  dba Twin Oaks Rehabilitation and Nursing

  • Skilled Nursing Facility
  • Danvers, MA
  • NPI 1588497226

  Ma SNF Holdings LLC, Zenith Care LLC

  CMS ownership
• Morrill Place Operations LLC

  dba Maplewood Rehabilitation and Nursing

  • Skilled Nursing Facility
  • Amesbury, MA
  • NPI 1598598229

  Ma SNF Holdings LLC, Zenith Care LLC

  CMS ownership
• Pinnacle Care of Battle Creek LLC

  • Skilled Nursing Facility
  • Battle Creek, MI
  • NPI 1639878192

  Zenith Care LLC

  CMS ownership

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.

• Yisroel Levine, LNHA

  • Skilled Nursing Facility
  • Battle Creek, MI
  • NPI 1174222590
  Authorized official Same address or phone
• Nelson Kisob Aweh, MD

  • Internal Medicine Physician
  • Cambridge, MA
  • NPI 1891923199
  NPD (past)
• Kirubakaran Siva, DO

  • Family Medicine Physician
  • Newburyport, MA
  • NPI 1649657594
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1724112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1740013481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24361 GREENFIELD RD STE 208I",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753165",
            "telephone_number": "248-635-4650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 LINCOLN AVE",
            "city": "SAUGUS",
            "state": "MA",
            "postal_code": "019063037",
            "telephone_number": "781-233-6830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN ROAD OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-20",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A",
        "authorized_official_last_name": "LEVINE",
        "authorized_official_first_name": "YISROEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "248-635-4650"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saugus Rehabilitation and Nursing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jaeik Lee, DMD
• Annaellen Lenart, LICSW
• Danielle Marie Leonardi, D.M.D
• Emily Letts
• Zhuoran Li, OD
• Makenzie Josephine Lloyd
• William A Lobel, DMD
• Michael Loebelenz, DPT
• Karen Elizabeth Lofty, M.S.W., L.C.S.W.
• Yicheng Lu, PT, DPT

• Skilled Nursing Facility in Saugus, MA
• Providers in Saugus, MA by specialty
• Skilled Nursing Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.