NPIMap

Organization Active NPI

St Johns Nursing Home Inc

Doing business as Brandon Woods of New Bedford

  • Skilled Nursing Facility
  • New Bedford, MA
National Provider Identifier
1942275326
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0656 Issued in MA
Legal business name
ST JOHNS NURSING HOME INC
Doing business as
Brandon Woods of New Bedford
Practice address
397 County Street
New Bedford, MA 02740-4998
Phone
(508) 997-9396
Fax
(508) 990-3336
NPI assigned
Feb 21, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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 0656 MA Primary

Addresses

Primary practice location

397 County Street
New Bedford, MA 02740-4998

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
0907685MedicaidMA

Other names 1

  • Brandon Woods of New Bedford Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051202000325 MA Part A Provider - Skilled Nursing Facility 6507886702 Practice locations: New Bedford, MA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1942275326. Details of each certification follow.

Skilled nursing facility certification: CCN 225264

Legal name
ST JOHNS NURSING HOME INC
Doing business as
BRANDON WOODS OF NEW BEDFORD
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 1, 1980
Last certification
Dec 16, 2024
Beds
135
Ownership / control type
Corporation
Multi-facility organization
Essex Group Management
Organization structure
CorporationProprietary
Incorporated
Feb 27, 1962 in MA
Enrollment address
397 County St
New Bedford, MA 02740-4933
Nursing home name
BRANDON WOODS OF NEW BEDFORD
Affiliated entity
ELDER SERVICES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Brandon Woods of New BedfordCCN 225264 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Aug 1, 1980
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
135102.0 residents per day on average
Chain
Elder Services6 facilities in the chain
Special focus status
SFF Candidate
Penalties (3 years)
2Fines totaling $528,970

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
22D0081758Brandon Woods of New Bedford397 County Street, New Bedford, MA 02740Certificate of waiverJun 28, 2027

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 InterestExecutive Director Feb 2, 2013 11.72%
W-2 Managing EmployeeExecutive Director Jan 17, 2010 11.72%
Essex Group Incorporated Organization, Rowley, MA Corporation, For-profit 5% Or Greater Direct Ownership Interest May 15, 1973 100%
Brandon Romano Individual 5% Or Greater Indirect Ownership Interest Feb 2, 2013 11.72%
Katelyn Romano Individual 5% Or Greater Indirect Ownership InterestAccountant Feb 2, 2013 11.72%
W-2 Managing EmployeeAccountant May 8, 2017 11.72%
Frank C Romano Individual 5% Or Greater Indirect Ownership InterestPresident Feb 2, 2013 43.74%
Corporate OfficerPresident Jan 4, 1978 43.74%
Corporate Director Feb 27, 1966 43.74%
W-2 Managing EmployeePresident Jan 4, 1978 43.74%
James Romano Individual 5% Or Greater Indirect Ownership Interest Feb 2, 2013 11.72%
W-2 Managing EmployeeExecutive Director Jun 25, 2013 11.72%
Philip Doyle Individual 5% Or Greater Indirect Ownership InterestGeneral Counsel Feb 2, 2013 9.38%

Facilities with the same owner 5

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, and the practitioner matching its NPPES authorized official.

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": "1140480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942275326",
    "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": "397 COUNTY STREET",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027404998",
            "telephone_number": "508-997-9396",
            "fax_number": "508-990-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOHNS 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": "0656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0907685",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brandon Woods of New Bedford",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Bedford, MA

Sources for this page

Verify at the official NPI Registry.