NPIMap

Organization Active NPI

Gahcr II Pittsfield Ma SNF TRS Sub, LLC

Doing business as Springside Rehabilitation and Skilled Care Center

  • Skilled Nursing Facility
  • Pittsfield, MA
National Provider Identifier
1801213715
Registry record updated Jan 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
GAHCR II PITTSFIELD MA SNF TRS SUB, LLC
Doing business as
Springside Rehabilitation and Skilled Care Center
Practice address
255 Lebanon Ave
Pittsfield, MA 01201-7828
Phone
(413) 499-2334
NPI assigned
Mar 28, 2014
Last updated
Jan 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2021

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

Authorized official

Name
Richard C. Bane
Title
Owner/Member
Phone
(781) 474-2263

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

255 Lebanon Ave
Pittsfield, MA 01201-7828

Mailing address

255 Lebanon Ave
Pittsfield, MA 01201-7828
Phone (413) 499-2334

Other names 1

  • SPRINGSIDE REHABILITATION AND SKILLED CARE CENTER Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140522001907 MA Part A Provider - Skilled Nursing Facility 7810110657 Practice locations: Pittsfield, MA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1801213715. Details of each certification follow.

Skilled nursing facility certification: CCN 225386

Legal name
GAHCR II PITTSFIELD MA SNF TRS SUB, LLC
Doing business as
SPRINGSIDE REHABILITATION AND SKILLED CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 1, 1990
Last certification
Jul 16, 2024
Beds
135
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Bane Care
Organization structure
LLCProprietary
Incorporated
Feb 10, 2014 in DE
Enrollment address
225 Lebanon Ave
Pittsfield, MA 01201-7828
Nursing home name
SPRINGSIDE REHABILITATION AND SKILLED CARE CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Springside Rehabilitation and Skilled Care CenterCCN 225386 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jul 1, 1990
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
135102.0 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Judith Lima Individual W-2 Managing Employee Jan 1, 2020
Marie Faria Individual W-2 Managing Employee Jan 1, 2020
Bane West Master LLC Organization, Braintree, MA Created for acquisition, LLC, Holding company 5% Or Greater Direct Ownership Interest Nov 1, 2017 100%
Kevin P Morris Individual Corporate OfficerAuthorized Official Jan 28, 2022
Bane Care Management LLC Organization, Braintree, MA For-profit Operational/Managerial Control Mar 17, 2014

Facilities with the same owner 5

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

Affiliated clinicians 1

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": "1395964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611878400000",
    "number": "1801213715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 LEBANON AVE",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012017828",
            "telephone_number": "413-499-2334",
            "fax_number": "413-443-1996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 LEBANON AVE",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012017828",
            "telephone_number": "413-499-2334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAHCR II PITTSFIELD MA SNF TRS SUB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-28",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A",
        "authorized_official_last_name": "BANE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "781-474-2263"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPRINGSIDE REHABILITATION AND SKILLED CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SPRINGSIDE REHABILITATION AND SKILLED CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pittsfield, MA

Sources for this page

Verify at the official NPI Registry.