NPIMap

Organization Active NPI

Neville Communities Home Inc

  • Skilled Nursing Facility
  • Cambridge, MA
National Provider Identifier
1922087667
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0680 Issued in MA
Legal business name
NEVILLE COMMUNITIES HOME INC
Practice address
640 Concord Ave
Cambridge, MA 02138-1116
Phone
(617) 497-0600
Fax
(617) 864-0415
NPI assigned
Jan 11, 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
Mr. Gregory Karr
Title
Executive Director
Phone
(617) 497-0600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0680 MA Primary

Addresses

Primary practice location

640 Concord Ave
Cambridge, MA 02138-1116

Mailing address

640 Concord Ave
Cambridge, MA 02138-1116
Phone (617) 497-0600

Other identifiers 2

IdentifierTypeStateIssuer
0926213MedicaidMA
7100698OtherMAEVERCARE

Other names 1

  • Neville Center at Fresh Pond Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040916000212 MA Part A Provider - Skilled Nursing Facility 1254308422 Practice locations: Cambridge, MA

Skilled nursing facility certification: CCN 225378

Legal name
NEVILLE COMMUNITIES HOME INC
Doing business as
NEVILLE CENTER AT FRESH POND
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 1, 1990
Last certification
Jul 23, 2024
Beds
112
Ownership / control type
Corporation
Organization structure
CorporationNon-profit
Incorporated
Oct 22, 1999 in MA
Enrollment address
640 Concord Ave
Cambridge, MA 02138-1116
Nursing home name
NEVILLE CENTER AT FRESH POND FOR NURSING & REHAB

Care Compare: Nursing home

Medicare Care Compare
Listed as
Neville Center at Fresh Pond for Nursing & RehabCCN 225378
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jul 1, 1990
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
11299.5 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
22D0650285Neville Communities Home Inc D/B/a Neville Ctr at640 Concord Avenue, Cambridge, MA 02138Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Neville Communities Home Inc Organization, Cambridge, MA Non-profit 5% Or Greater Direct Ownership Interest Oct 22, 1999 100%
Steven Raso Individual Corporate DirectorManager May 1, 2010 100%
Operational/Managerial ControlManager May 1, 2010 100%
Robert Baranello Individual Corporate Officer Nov 1, 2006 25%
Landmark Management Solutions, LLC Organization, Haverhill, MA For-profit Operational/Managerial Control May 1, 2010 100%
Gloria Leipzig Individual Corporate OfficerClerk Oct 1, 2012 25%
Rockland Trust Company Organization, Rockland, MA Financial institution 5% Or Greater Mortgage Interest Jul 30, 2013 100%
Stephanie J McPherson Individual W-2 Managing EmployeeAdministrator Mar 22, 2019 100%
Jim Stockard Individual Corporate Officer Oct 1, 2012 25%

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

Practitioners 6

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

Affiliated clinicians 3

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": "1136937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922087667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 CONCORD AVE",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021381116",
            "telephone_number": "617-497-0600",
            "fax_number": "617-864-0415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 CONCORD AVE",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021381116",
            "telephone_number": "617-497-0600",
            "fax_number": "617-864-0415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEVILLE COMMUNITIES HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KARR",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "617-497-0600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "0680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0926213",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE",
            "identifier": "7100698",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neville Center at Fresh Pond",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cambridge, MA

Sources for this page

Verify at the official NPI Registry.