NPIMap

Organization Active NPI

Waterview Lodge LLC

  • Skilled Nursing Facility
  • Ashland, MA
National Provider Identifier
1861865065
Registry record updated Nov 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
WATERVIEW LODGE LLC
Practice address
250 W Union St
Ashland, MA 01721-1420
Phone
(508) 879-6420
NPI assigned
Nov 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2015

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

Authorized official

Name
Indira Desai, D.SC.,RD,LDN,RN,NHANPI 1639201981
Title
President
Phone
(508) 879-6420

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X MA Primary

Addresses

Primary practice location

250 W Union St
Ashland, MA 01721-1420

Mailing address

32 Newtonville Ave
P.O. Box 788
Newton, MA 02458-1939
Phone (508) 879-6420

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160203000212 MA Part A Provider - Skilled Nursing Facility 7214231885 Practice locations: Ashland, MA

Skilled nursing facility certification: CCN 225598

Legal name
WATERVIEW LODGE LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1994
Last certification
Oct 29, 2024
Beds
103
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Jan 1, 1994 in MA
Enrollment address
250 W Union St
Ashland, MA 01721-1420
Nursing home name
WATERVIEW LODGE LLC, REHABILITATION & HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Waterview Lodge Llc, Rehabilitation & HealthcareCCN 225598 · All quality measures
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
5 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 1, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10379.3 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D0902173Waterview Lodge LLC Rehabilitation & Healthcare250 W Union St, Ashland, MA 01721Certificate of waiverJun 13, 2027

National Provider Directory

National Provider Directory
Tax ID family
Waterview Lodge LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Indira Desai Individual 5% Or Greater Direct Ownership InterestCeo Dec 15, 2015 100%
Corporate OfficerCeo Dec 15, 2015
W-2 Managing EmployeeCeo Dec 15, 2015 100%
Operational/Managerial ControlCeo Dec 15, 2015 100%
Waterview Lodge LLC Organization, Ashland, MA Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Dec 15, 2015 100%

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1447113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447113600000",
    "number": "1861865065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 NEWTONVILLE AVE",
            "address_2": "P.O. BOX 788",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024581939",
            "telephone_number": "508-879-6420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 W UNION ST",
            "city": "ASHLAND",
            "state": "MA",
            "postal_code": "017211420",
            "telephone_number": "508-879-6420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERVIEW LODGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-10",
        "last_updated": "2015-11-10",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "INDIRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-879-6420",
        "authorized_official_credential": "D.SC.,RD,LDN,RN,NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, MA

Sources for this page

Verify at the official NPI Registry.