Active NPI
Watertown Rehabilitation and Nursing Center LLC
- Skilled Nursing Facility
- Watertown, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- WATERTOWN REHABILITATION AND NURSING CENTER LLC
- Practice address
- 59 Coolidge Hill Rd
Watertown, MA 02472-2816 - Phone
- (617) 924-1130
- NPI assigned
- Dec 15, 2021
- 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
- Akiva Horowitz
- Title
- Manager
- Phone
- (617) 924-1130
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
59 Coolidge Hill Rd
Watertown, MA 02472-2816
Mailing address
59 Coolidge Hill Rd
Watertown, MA 02472-2816
Phone (617) 924-1130
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220323000226 | MA | Part A Provider - Skilled Nursing Facility | 9133514466 | Practice locations: Watertown, MA |
Skilled nursing facility certification: CCN 225425
- Legal name
- WATERTOWN REHABILITATION AND NURSING CENTER LLC
- Doing business as
- WATERTOWN REHABILITATION AND NURSING CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jul 1, 1990
- Last certification
- May 6, 2025
- Beds
- 163
- Ownership / control type
- Limited Liability Corporation
- Most recent change of ownership
- Mar 1, 2014
- Organization structure
- LLC
- Enrollment address
- 59 Coolidge Hill Rd
Watertown, MA 02472-2816 - Nursing home name
- WATERTOWN REHABILITATION AND NURSING CENTER
- Affiliated entity
- EPHRAM LAHASKY
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Watertown Rehabilitation and Nursing Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jul 1, 1990
- Medicare certification status
- Active
- Certified beds
- 163
- Chain
- Ephram Lahasky
- Penalties (3 years)
- 1
National Provider Directory
National Provider DirectoryLocations
59 Coolidge Hill Rd
Watertown, MA 02472
Phone (617) 231-8245
Ownership & related parties
All disclosed owners & managing parties 13
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 |
|---|---|---|---|
| Adp of the SNF | Jun 25, 2025 | ||
| Ephram M Lahasky | 5% Or Greater Direct Ownership Interest | Feb 1, 2022 | 50% |
| Adp of the SNF | Feb 22, 2025 | ||
| Adp of the SNF | Jun 25, 2025 | ||
| Adp of the SNF | May 21, 2025 | ||
| Adp of the SNF | May 21, 2025 | ||
| Adp of the SNF | May 21, 2025 | ||
| Adp of the SNF | Jun 26, 2025 | ||
| Andrew Mbugua | Operational/Managerial Control | Jan 6, 2025 | |
| Managing Control - Governing Body | Jan 6, 2025 | ||
| Adp of the SNF | Apr 10, 2025 | ||
| Adp of the SNF | May 21, 2025 | ||
| Asif Merchant | Operational/Managerial Control | Jan 1, 2025 | |
| Adp of the SNF | Jul 16, 2025 | ||
| Akiva Horowitz | 5% Or Greater Direct Ownership Interest | Feb 1, 2022 | 50% |
| Adp of the SNF | May 21, 2025 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Geriatric Medicine (Internal Medicine) Physician
- Chelmsford, MA
- NPI 1538152335
Adp of the SNF, Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Hospitalist Physician
- Beverly, MA
- NPI 1508038506
-
- Internal Medicine Physician
- Chelmsford, MA
- NPI 1083096317
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": "1639526400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1639526400000",
"number": "1902565062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "59 COOLIDGE HILL RD",
"city": "WATERTOWN",
"state": "MA",
"postal_code": "024722816",
"telephone_number": "617-924-1130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "59 COOLIDGE HILL RD",
"city": "WATERTOWN",
"state": "MA",
"postal_code": "024722816",
"telephone_number": "617-924-1130"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WATERTOWN REHABILITATION AND NURSING CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-15",
"last_updated": "2021-12-15",
"certification_date": "2021-12-15",
"status": "A",
"authorized_official_last_name": "HOROWITZ",
"authorized_official_first_name": "AKIVA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "617-924-1130"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Watertown, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; 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.