NPIMap

Organization Active NPI

Chelsea Jewish Nursing Home, Inc.

  • Skilled Nursing Facility
  • Chelsea, MA
National Provider Identifier
1891780268
Registry record updated Jun 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0559 Issued in MA
Legal business name
CHELSEA JEWISH NURSING HOME, INC.
Practice address
17 Lafayette Ave
Chelsea, MA 02150-2010
Phone
(617) 884-6766
Fax
(617) 887-0618
NPI assigned
Sep 13, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2019

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

Authorized official

Name
Mr. Adam S. Berman
Title
President
Phone
(978) 471-5146

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 862 MA
Skilled Nursing Facility 314000000X 0559 MA Primary

Addresses

Primary practice location

17 Lafayette Ave
Chelsea, MA 02150-2010

Mailing address

17 Lafayette Ave
Chelsea, MA 02150-2010
Phone (617) 884-6766

Other identifiers 2

IdentifierTypeStateIssuer
0901156MedicaidMA
110025683AMedicaidMA

Other names 1

  • Katzman Family Center for Living Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120413000333 MA Part A Provider - Skilled Nursing Facility 0244491579 Practice locations: Chelsea, MA

Skilled nursing facility certification: CCN 225451

Legal name
CHELSEA JEWISH NURSING HOME, INC.
Doing business as
KATZMAN FAMILY CENTER FOR LIVING
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 1, 1990
Last certification
Apr 30, 2025
Beds
123
Ownership / control type
Other Nonprofit
Multi-facility organization
Chelsea Jewish Lifecare
Organization structure
CorporationNon-profit
Enrollment address
17 Lafayette Ave
Chelsea, MA 02150-2010
Nursing home name
KATZMAN FAMILY CENTER FOR LIVING
Affiliated entity
CHELSEA JEWISH LIFECARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Katzman Family Center for LivingCCN 225451
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Other
Certified
Jul 1, 1990
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
123115.7 residents per day on average
Chain
Chelsea Jewish Lifecare5 facilities in the chain

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
22D0902168Katzman Family Center for Living17 Lafayette Avenue, Chelsea, MA 02150Certificate of waiverJun 13, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 32

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

NameRoleSinceShare
Jeffrey Brudnick Individual Corporate Director Jan 1, 2002 9%
Operational/Managerial Control Jan 1, 2017
Tameka Bennett Individual Operational/Managerial Control Jan 6, 2020
Megin Hemmerling Individual Operational/Managerial Control Nov 1, 2021
Adp of the SNF Nov 1, 2021
Sharon Forman Individual Corporate DirectorDirector Oct 20, 2015 9%
Operational/Managerial Control Jan 1, 2017
Stuart a Anfang Individual Corporate DirectorDirector Oct 1, 2020 9%
Operational/Managerial Control Jan 1, 2020
Ginny Person Individual Operational/Managerial Control Nov 24, 2024
Adp of the SNF Nov 24, 2024
Sunita Shresta Individual Operational/Managerial Control Jan 4, 2010
Adp of the SNF Jan 4, 2010
Susan Goldsmith Individual Corporate DirectorDirector May 1, 2013 9%
Operational/Managerial Control Jan 1, 2017
Jocktan Mwaisaka Individual Operational/Managerial Control Nov 6, 2018
Jennifer Santerre Individual Corporate OfficerCfo Jul 1, 2022
Operational/Managerial Control Jul 1, 2022
Adp of the SNF Jan 1, 2017
Baker Tilly US LLP Organization, Madison, WI Operational/Managerial Control Feb 5, 2025
Adp of the SNF Jul 7, 2025
Vickie Tran Individual Operational/Managerial Control Nov 2, 2021
Elizabeth Mullen Individual Corporate OfficerClerk and Coo Oct 20, 2015 9%
Corporate DirectorDirector Oct 20, 2015 9%
Operational/Managerial Control Jan 1, 2017
Noldcie Elien-Val Individual Operational/Managerial Control Aug 12, 2015
Legacy Lifecare Inc Organization, Peabody, MA Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Jan 1, 2021 100%
Hans P Birle Individual Operational/Managerial Control Nov 1, 2021
Dragan Jelonjic Individual Operational/Managerial Control Oct 12, 2022
Adp of the SNF Oct 12, 2022
Adam S Berman Individual Corporate OfficerPresident-Ceo Oct 27, 2009 9%
Corporate Director Oct 27, 2009
Operational/Managerial Control Jan 1, 2017
Judy Weiss Individual Corporate DirectorDirector Oct 1, 2018 9%
Operational/Managerial Control Jan 1, 2017
Douglas Fiebelkorn Individual Corporate Director Nov 1, 2022 9%
Operational/Managerial Control Jan 1, 2017
Juliet Mutyaba Individual Operational/Managerial Control Nov 8, 2012
Genevieve Maclellan Individual Operational/Managerial Control Nov 1, 2021
Gilda Richman Individual Corporate DirectorBoard Chairman/Director Jan 1, 2002 9%
Operational/Managerial Control Nov 1, 2017
Ciriaco Mango Individual Operational/Managerial Control Apr 30, 2006
Chelsea Jewish Lifecare Inc Organization, Chelsea, MA Non-profit 5% Or Greater Direct Ownership Interest Mar 23, 2017 100%
Baker Tilly Advisory Group LP Organization, Madison, WI Operational/Managerial Control Feb 19, 2025
Adp of the SNF Jul 7, 2025
Barry S Berman Individual Corporate OfficerTreasurer and Ceo Jan 1, 1980 9%
Corporate Director Jan 1, 1980
Operational/Managerial Control Jan 1, 2017
Viola Exantus Individual Operational/Managerial Control May 30, 2023
Howard Greenspan Individual Corporate Director Jan 1, 2018 9%
Operational/Managerial Control Jan 1, 2017
Mariko Wong Individual Operational/Managerial Control Apr 1, 2017
Adp of the SNF Apr 1, 2017
Donna Crescenzo Individual Operational/Managerial Control Dec 13, 2010
Monique Silien Individual Operational/Managerial Control Feb 2, 2015

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 14

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 14

Practitioners & affiliated clinicians

Practitioners 2

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

Affiliated clinicians 2

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": "1126569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561593600000",
    "number": "1891780268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 LAFAYETTE AVE",
            "city": "CHELSEA",
            "state": "MA",
            "postal_code": "021502010",
            "telephone_number": "617-884-6766",
            "fax_number": "617-887-0618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 LAFAYETTE AVE",
            "city": "CHELSEA",
            "state": "MA",
            "postal_code": "021502010",
            "telephone_number": "617-884-6766",
            "fax_number": "617-887-0618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHELSEA JEWISH NURSING HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-13",
        "last_updated": "2019-06-27",
        "status": "A",
        "authorized_official_last_name": "BERMAN",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-471-5146",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "862",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "0559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0901156",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110025683A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Katzman Family Center for Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chelsea, MA

Sources for this page

Verify at the official NPI Registry.