Active NPI
Lasell Village Inc.
- Skilled Nursing Facility
- Auburndale, MA
National Provider Identifier
1851374409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- OEIG
- Legal business name
- LASELL VILLAGE INC.
- Practice address
- 120 Seminary Ave
Auburndale, MA 02466-2650 - Phone
- (617) 663-7000
- Fax
- (617) 663-7001
- NPI assigned
- Nov 28, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shari Mega
- Title
- Director of Business & Finance
- Phone
- (617) 663-7056
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | OEIG | MA | Primary |
Addresses
Primary practice location
120 Seminary Ave
Auburndale, MA 02466-2650
Mailing address
120 Seminary Ave
Auburndale, MA 02466-2650
Phone (617) 663-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041108000234 | MA | Part A Provider - Skilled Nursing Facility | 2961465398 | Practice locations: Auburndale, MA |
Skilled nursing facility certification: CCN 225755
- Legal name
- LASELL VILLAGE INC.
- Doing business as
- LASELL HOUSE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF (Medicare) only
- Participating since
- Nov 21, 2000
- Last certification
- Sep 19, 2024
- Beds
- 44
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Incorporated
- Apr 18, 1990 in MA
- Enrollment address
- 120 Seminary Ave
Auburndale, MA 02466-2650 - Nursing home name
- LASELL HOUSE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Lasell House
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare
- Ownership
- Non profit - Corporation
- Certified
- Nov 21, 2000
- Medicare certification status
- Active
- Certified beds
- 44
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D0979496 | Lasell Village, Inc | Certificate of waiver | Oct 23, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 3
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Aaron St.Laurent | Other | Dec 1, 2022 | |
| Michael B Alexander | Corporate Director | Jul 1, 2007 | |
| Alessandro Vianello | Corporate Officer | Nov 18, 2019 | |
| W-2 Managing Employee | Nov 18, 2019 |
Practitioners & affiliated clinicians
Affiliated clinicians 4
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Wellesley, MA
- NPI 1376980128
Nursing home
-
- Internal Medicine Physician
- Newton Lower Falls, MA
- NPI 1063594828
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133136000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1333065600000",
"number": "1851374409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 SEMINARY AVE",
"city": "AUBURNDALE",
"state": "MA",
"postal_code": "024662650",
"telephone_number": "617-663-7000",
"fax_number": "617-663-7001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 SEMINARY AVE",
"city": "AUBURNDALE",
"state": "MA",
"postal_code": "024662650",
"telephone_number": "617-663-7000",
"fax_number": "617-663-7001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LASELL VILLAGE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-28",
"last_updated": "2012-03-30",
"status": "A",
"authorized_official_last_name": "MEGA",
"authorized_official_first_name": "SHARI",
"authorized_official_title_or_position": "DIRECTOR OF BUSINESS & FINANCE",
"authorized_official_telephone_number": "617-663-7056"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MA",
"license": "OEIG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Auburndale, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; 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.