Organization Active NPI

Watertown Rehabilitation and Nursing Center LLC

  • Skilled Nursing Facility
  • Watertown, MA
National Provider Identifier
1902565062
Registry record updated Dec 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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

Updated by the provider on Dec 15, 2021

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
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 CenterCCN 225425
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jul 1, 1990
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
163132.9 residents per day on average
Chain
Ephram Lahasky22 facilities in the chain
Penalties (3 years)
1Fines totaling $56,440

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Organization, Merrimac, MA Corporation Adp of the SNF Jun 25, 2025
Ephram M Lahasky Individual 5% Or Greater Direct Ownership Interest Feb 1, 2022 50%
Organization, Springfield, NJ LLC Adp of the SNF Feb 22, 2025
Organization, Dedham, MA LLC Adp of the SNF Jun 25, 2025
Organization, Covina, CA LLC, Management services company Adp of the SNF May 21, 2025
Organization, Bensalem, PA Corporation, Management services company Adp of the SNF May 21, 2025
Organization, Quincy, MA Corporation, Management services company Adp of the SNF May 21, 2025
Organization, Bedmister, NJ Financial institution Adp of the SNF Jun 26, 2025
Andrew Mbugua Individual Operational/Managerial Control Jan 6, 2025
Managing Control - Governing BodyAdministrator Jan 6, 2025
Adp of the SNF Apr 10, 2025
Organization, Howell, NJ LLC Adp of the SNF May 21, 2025
Asif Merchant Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jul 16, 2025
Akiva Horowitz Individual 5% Or Greater Direct Ownership Interest Feb 1, 2022 50%
Organization, Southfield, MI Corporation 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.

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 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

Verify at the official NPI Registry.