Organization Active NPI

Chelsea Jewish Green House, Inc.

Doing business as Manuel R. Grell Home Care Agency, Inc.

  • Home Health Agency
  • Chelsea, MA
National Provider Identifier
1861482499
Registry record updated Sep 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CHELSEA JEWISH GREEN HOUSE, INC.
Doing business as
Manuel R. Grell Home Care Agency, Inc.
Practice address
123 Captains Row
Chelsea, MA 02150-4019
Phone
(617) 889-8744
Fax
(617) 889-8745
NPI assigned
Oct 25, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2012

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

Authorized official

Name
Mr. Adam S. Berman
Title
Coo
Phone
(617) 887-0001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X MA Primary

Addresses

Primary practice location

123 Captains Row
Chelsea, MA 02150-4019

Mailing address

165 Captains Row
Chelsea, MA 02150-4019
Phone (617) 887-0001

Other names 1

  • Manuel R. Grell Home Care Agency, Inc. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Jan 1, 2017 Change of OwnershipThis provider was the seller Legacy Lifecare Visiting Nurse AgencyCCN 227450, MA, NPI 1528519980

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347321600000",
    "number": "1861482499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 CAPTAINS ROW",
            "city": "CHELSEA",
            "state": "MA",
            "postal_code": "021504019",
            "telephone_number": "617-887-0001",
            "fax_number": "617-889-6176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 CAPTAINS ROW",
            "city": "CHELSEA",
            "state": "MA",
            "postal_code": "021504019",
            "telephone_number": "617-889-8744",
            "fax_number": "617-889-8745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHELSEA JEWISH GREEN HOUSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-25",
        "last_updated": "2012-09-11",
        "status": "A",
        "authorized_official_last_name": "BERMAN",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "617-887-0001",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manuel R. Grell Home Care Agency, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chelsea, MA

Sources for this page

Verify at the official NPI Registry.