Active NPI
Seven Hills Extended Care at Groton, Inc.
Doing business as Seven Hills at Groton, Inc.
- Pediatric Skilled Nursing Facility
- Groton, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Skilled Nursing Facility
- License
- 0791
- Legal business name
- SEVEN HILLS EXTENDED CARE AT GROTON, INC.
- Doing business as
- Seven Hills at Groton, Inc.
- Practice address
- 22 Hillside Ave
Groton, MA 01450-1284 - Phone
- (978) 448-3388
- Fax
- (978) 448-9695
- NPI assigned
- Dec 20, 2005
- 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
- Ms. Holly E Jarek
- Title
- Administrator
- Phone
- (978) 448-3388
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Skilled Nursing Facility | 3140N1450X | 0791 | MA | Primary |
Addresses
Primary practice location
22 Hillside Ave
Groton, MA 01450-1284
Mailing address
22 Hillside Ave
Groton, MA 01450-1284
Phone (978) 448-3388
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0929131 | Medicaid | MA | |
| 0931004 | Medicaid | MA |
Other names 1
- Seven Hills at Groton, Inc.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20141113000400 | MA | Part A Provider - Skilled Nursing Facility | 2961624648 | Practice locations: Groton, MA |
Skilled nursing facility certification: CCN 225781
- Legal name
- SEVEN HILLS EXTENDED CARE AT GROTON, INC.
- Doing business as
- SEVEN HILLS PEDIATRIC CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Feb 13, 2015
- Last certification
- Oct 16, 2024
- Beds
- 83
- Ownership / control type
- Nonprofit Corporation
- Multi-facility organization
- Seven Hills Foundation
- Organization structure
- Corporation
- Incorporated
- Aug 27, 2003 in MA
- Enrollment address
- 22 Hillside Ave
Groton, MA 01450-1284 - Nursing home name
- SEVEN HILLS PEDIATRIC CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Seven Hills Pediatric Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Feb 13, 2015
- Medicare certification status
- Active
- Certified beds
- 83
- Penalties (3 years)
- 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D0068748 | Seven Hills at Groton | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 5
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 |
|---|---|---|---|
| Cynthia Andrews | W-2 Managing Employee | Jan 3, 2022 | 100% |
| Melvin Gordon | Corporate Director | Jan 1, 2014 | |
| John Altomare | Corporate Director | Jan 1, 2014 | |
| Robin Mahar | Corporate Director | Jan 1, 2014 | |
| Michael Matthews | Corporate Officer | Jan 1, 2020 |
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Nurse Practitioner
- Westford, MA
- NPI 1730678491
-
- Family Nurse Practitioner
- Groton, MA
- NPI 1821373887
-
- Family Nurse Practitioner
- Groton, MA
- NPI 1184312373
-
- Pediatrics Physician
- Boston, MA
- NPI 1619078821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135036800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1702339200000",
"number": "1942286158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 HILLSIDE AVE",
"city": "GROTON",
"state": "MA",
"postal_code": "014501284",
"telephone_number": "978-448-3388",
"fax_number": "978-448-9695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 HILLSIDE AVE",
"city": "GROTON",
"state": "MA",
"postal_code": "014501284",
"telephone_number": "978-448-3388",
"fax_number": "978-448-9695"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEVEN HILLS EXTENDED CARE AT GROTON, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-20",
"last_updated": "2023-12-12",
"certification_date": "2023-12-12",
"status": "A",
"authorized_official_last_name": "JAREK",
"authorized_official_first_name": "HOLLY",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "978-448-3388",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "3140N1450X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
"state": "MA",
"license": "0791",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0929131",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0931004",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Seven Hills at Groton, Inc.",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Seven Hills at Groton, Inc.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Groton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; 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.