NPIMap

Organization Active NPI

Erlin Manor Nursing Home Inc

  • Skilled Nursing Facility
  • Tewksbury, MA
National Provider Identifier
1881669273
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0808 Issued in MA
Legal business name
ERLIN MANOR NURSING HOME INC
Practice address
10 Erlin Terrace
Tewksbury, MA 01876-2666
Phone
(978) 851-3121
Fax
(978) 640-0981
NPI assigned
Feb 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Deborah Klock
Title
President
Phone
(978) 948-7383

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0808 MA Primary

Addresses

Primary practice location

10 Erlin Terrace
Tewksbury, MA 01876-2666

Mailing address

51 Summer Street
Rowley, MA 01969-1833
Phone (978) 948-7383

Other identifiers 1

IdentifierTypeStateIssuer
0911631MedicaidMA

Other names 1

  • Blaire House of Tewksbury Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070906000422 MA Part A Provider - Skilled Nursing Facility 1850484999 Practice locations: Tewksbury, MA

Skilled nursing facility certification: CCN 225548

Legal name
ERLIN MANOR NURSING HOME INC
Doing business as
BLAIRE HOUSE OF TEWKSBURY
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 1, 1992
Last certification
Oct 23, 2024
Beds
131
Ownership / control type
Corporation
Multi-facility organization
Essex Group
Organization structure
CorporationProprietary
Incorporated
Nov 15, 1974 in MA
Enrollment address
10 Erlin Terrace
Tewksbury, MA 01876-2666
Nursing home name
BLAIRE HOUSE OF TEWKSBURY
Affiliated entity
ELDER SERVICES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Blaire House of TewksburyCCN 225548
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
May 1, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
131139.0 residents per day on average
Chain
Elder Services6 facilities in the chain
Special focus status
SFF Candidate
Penalties (3 years)
2Fines totaling $71,902

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
22D0072230Blaire House of Tewksbury10 Erlin Terrace, Tewksbury, MA 01876Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Kyle Romano Individual 5% Or Greater Indirect Ownership Interest Aug 16, 2008 11.71%
Essex Group Incorporated Organization, Rowley, MA Corporation 5% Or Greater Direct Ownership Interest Dec 31, 1976 100%
Brandon Romano Individual 5% Or Greater Indirect Ownership Interest Aug 16, 2008 11.71%
Katelyn Romano Individual 5% Or Greater Indirect Ownership Interest Aug 16, 2008 11.71%
Frank C Romano Individual 5% Or Greater Indirect Ownership InterestPresident Jan 4, 1978 43.74%
Corporate Officer Jan 4, 1978 43.74%
W-2 Managing EmployeePresident Jan 4, 1978 43.74%
James Romano Individual 5% Or Greater Indirect Ownership Interest Aug 16, 2008 11.71%
Corporate Director Aug 16, 2008
Philip Doyle Individual 5% Or Greater Indirect Ownership InterestTrustee of Doyle Family Trust Jan 4, 1978 9.37%

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.

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": "1140480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881669273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 SUMMER STREET",
            "city": "ROWLEY",
            "state": "MA",
            "postal_code": "019691833",
            "telephone_number": "978-948-7383",
            "fax_number": "978-948-3421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 ERLIN TERRACE",
            "city": "TEWKSBURY",
            "state": "MA",
            "postal_code": "018762666",
            "telephone_number": "978-851-3121",
            "fax_number": "978-640-0981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERLIN MANOR NURSING HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KLOCK",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-948-7383"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "0808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0911631",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blaire House of Tewksbury",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tewksbury, MA

Sources for this page

Verify at the official NPI Registry.