Ellis Skilled Nursing and Rehab

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

7458 Issued in MA

Legal business name

ELLIS SKILLED NURSING AND REHAB

Practice address

135 Ellis Ave
Norwood, MA 02062-3946

Phone

(781) 949-2331

NPI assigned

Apr 7, 2017

Organization subpart

No

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

Authorized official

Name

Diane Kuzio, RPT

Title

Rehab MGR/RPT

Phone

(508) 520-9022

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1491523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491523200000",
    "number": "1841723772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 ELLIS AVE",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020623946",
            "telephone_number": "781-949-2331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 ELLIS AVE",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020623946",
            "telephone_number": "781-949-2331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIS SKILLED NURSING AND REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-07",
        "last_updated": "2017-04-07",
        "status": "A",
        "authorized_official_last_name": "KUZIO",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "REHAB MGR/RPT",
        "authorized_official_telephone_number": "508-520-9022",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "7458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip Eliades, M.D.
• Ellis
• Ellis Nursing Home, Inc.
• Ellis Nursing Home, Inc.
• Ellis Rehab and Nursing Center
• Chelsea Ellis
• Abdulfatah Elshaar, M.D.
• Gabrielle Elwood
• Vivian Onome Emuobe
• Enable, Inc.

• Skilled Nursing Facility in Norwood, MA
• Providers in Norwood, 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 Apr 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.