Lighthouse Operator LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

LIGHTHOUSE OPERATOR LLC

Doing business as

Lighthouse Rehabilitation and Healthcare Center

Practice address

204 Proctor Ave
Revere, MA 02151-4923

Phone

(781) 286-3100

NPI assigned

Aug 6, 2024

Last updated

Jul 9, 2025By 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

Mindee Posen

Title

Medicare Administration Officer

Phone

(732) 903-1958

Specialties & licenses 1

Addresses

Other names 1

• Lighthouse Rehabilitation and Healthcare Center Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1760212567. Details of each certification follow.

• CCN 225297A Skilled nursing facility · Details

Skilled nursing facility certification: CCN 225297A

Legal name

LIGHTHOUSE OPERATOR LLC

Doing business as

LIGHTHOUSE REHABILITATION AND HEALTHCARE CENTER

Organization structure

LLCProprietary

Incorporated

Jul 12, 2024 in MA

Enrollment address

204 Proctor Ave
Revere, MA 02151-4923

Nursing home name

LIGHTHOUSE REHABILITATION AND HEALTHCARE CENTER

Affiliated entity

MARQUIS HEALTH SERVICES

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 27

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 2

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

• Saira Nisar, M.D.

  • Internal Medicine Physician
  • Fall River, MA
  • NPI 1114182680

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Yogesh Viroja, M.D.

  • Internal Medicine Physician
  • Phillipsburg, NJ
  • NPI 1174515753

  Adp of the SNF, Managing Control - Governing Body

  CMS ownership

Facilities with the same owner 97

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

• Aspen Hill Operator LLC

  dba Aspen Hill Rehabilitation and Healthcare Center

  • Skilled Nursing Facility
  • Haverhill, MA
  • NPI 1265177596

  Marquis Limited LLC, NFR 2020 Irrv TR, Quinto Nexgen LLC, Reliant Pro Rehab LLC, Rsbrmk Holdings LLC, SK Nexgen TR, Tryko Nexgen Holdings LLC, Uak 2020 Irrv TR, Ukr Nexgen LLC, Yk Nexgen TR, Yr Nexgen TR

  CMS ownership
• Blueberry Hill Operator LLC

  dba Blueberry Hill Rehabilitation and Healthcare Center

  • Skilled Nursing Facility
  • Beverly, MA
  • NPI 1861817306

  Marquis Limited LLC, Reliant Pro Rehab LLC

  CMS ownership
• Brentwood Operator, LLC

  dba The Brentwood Rehabilitation and Healthcare Center

  • Skilled Nursing Facility
  • Danvers, MA
  • NPI 1851731665

  NFR 2020 Irrv TR, Rsbrmk Holdings LLC, Uak 2020 Irrv TR

  CMS ownership
• Briarwood Operator, LLC

  dba Briarwood Rehabilitation and Healthcare Center

  • Skilled Nursing Facility
  • Needham, MA
  • NPI 1376887612

  Marquis Limited LLC, Reliant Pro Rehab LLC

  CMS ownership
• Brighton Operator LLC

  dba Brighton Post Acute Care

  • Skilled Nursing Facility
  • Brighton, MA
  • NPI 1104717255

  Marquis Limited LLC, NFR 2020 Irrv TR, Quinto Nexgen LLC, Reliant Pro Rehab LLC, Rsbrmk Holdings LLC, SK Nexgen TR, Tryko Nexgen Holdings LLC, Uak 2020 Irrv TR, Ukr Nexgen LLC, Yk Nexgen TR, Yr Nexgen TR

  CMS ownership
• Brockton Operator LLC

  dba Brockton Post Acute Care

  • Skilled Nursing Facility
  • Brockton, MA
  • NPI 1356171193

  Marquis Limited LLC, Reliant Pro Rehab LLC

  CMS ownership
• Cape Cod Operator LLC

  dba Cape Cod Post Acute Care

  • Skilled Nursing Facility
  • Brewster, MA
  • NPI 1164252961

  Marquis Limited LLC, NFR 2020 Irrv TR, Quinto Nexgen LLC, Reliant Pro Rehab LLC, Rsbrmk Holdings LLC, SK Nexgen TR, Tryko Nexgen Holdings LLC, Uak 2020 Irrv TR, Ukr Nexgen LLC, Yk Nexgen TR, Yr Nexgen TR

  CMS ownership
• Cedar View Operator LLC

  dba Cedar View Rehabilitation and Healthcare Center

  • Skilled Nursing Facility
  • Methuen, MA
  • NPI 1396198073

  Marquis Limited LLC, NFR 2020 Irrv TR, Reliant Pro Rehab LLC, Rsbrmk Holdings LLC, Uak 2020 Irrv TR

  CMS ownership
• Chestnut Woods Operator LLC

  dba Chestnut Woods Rehabilitation and Healthcare Center

  • Skilled Nursing Facility
  • Saugus, MA
  • NPI 1932524204

  Marquis Limited LLC, Reliant Pro Rehab LLC

  CMS ownership
• Hampden Operator LLC

  dba Hampden Post Acute

  • Skilled Nursing Facility
  • Wilbraham, MA
  • NPI 1649078726

  Marquis Limited LLC, NFR 2020 Irrv TR, Quinto Nexgen LLC, Reliant Pro Rehab LLC, Rsbrmk Holdings LLC, SK Nexgen TR, Tryko Nexgen Holdings LLC, Uak 2020 Irrv TR, Ukr Nexgen LLC, Yk Nexgen TR, Yr Nexgen TR

  CMS ownership
• Highland Park Operator LLC

  dba Highland Park Rehabilitation and Healthcare Center

  • Skilled Nursing Facility
  • Chelsea, MA
  • NPI 1073343877

  Marquis Limited LLC, Reliant Pro Rehab LLC

  CMS ownership
• Mill Brook Operator LLC

  dba Mill Brook Rehabilitation and Healthcare Center

  • Skilled Nursing Facility
  • Fall River, MA
  • NPI 1427888239

  Marquis Limited LLC, Reliant Pro Rehab LLC

  CMS ownership

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.

• Saira Nisar, M.D.

  • Internal Medicine Physician
  • Fall River, MA
  • NPI 1114182680
  NPD (past)
• Mariko K Wong, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Everett, MA
  • NPI 1497984454
  NPD (past)

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752019200000",
    "number": "1760212567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 PROCTOR AVE",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021514923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 PROCTOR AVE",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021514923",
            "telephone_number": "781-286-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE OPERATOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-06",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A",
        "authorized_official_last_name": "POSEN",
        "authorized_official_first_name": "MINDEE",
        "authorized_official_title_or_position": "MEDICARE ADMINISTRATION OFFICER",
        "authorized_official_telephone_number": "732-903-1958"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Lighthouse Rehabilitation and Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lighthouse Rehabilitation and Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rose Therese Letang
• Lorky Nercessian Libaridian, M.D.
• Wei Lien, MD
• Lifebridge Wellness Services, PLLC
• Lighthouse of Revere, Inc. (Lighthouse Nursing Care Center)
• Antonio Melendez Lim, MD
• Leigh Page Loftus, PTA
• Judy Tatiana Londono Patino, RN
• William Lopez
• Lotus Adult Day Health Center, LLC

• Skilled Nursing Facility in Revere, MA
• Providers in Revere, 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 Jul 9, 2025; 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.

Verify at the official NPI Registry.