St. Camillus Health Center, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0896 Issued in MA

Legal business name

ST. CAMILLUS HEALTH CENTER, INC.

Practice address

447 Hill St
Whitinsville, MA 01588-1016

Phone

(508) 234-7306

Fax

(508) 234-7597

NPI assigned

Jul 18, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. William Graves

Title

President/Administrator

Phone

(508) 234-7306

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• St. Camillus Nursing Home Former legal business name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333584000000",
    "number": "1952300543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "447 HILL ST",
            "city": "WHITINSVILLE",
            "state": "MA",
            "postal_code": "015881016",
            "telephone_number": "508-234-7306",
            "fax_number": "508-234-7597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 HILL ST",
            "city": "WHITINSVILLE",
            "state": "MA",
            "postal_code": "015881016",
            "telephone_number": "508-234-7306",
            "fax_number": "508-234-7597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. CAMILLUS HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-18",
        "last_updated": "2012-04-05",
        "status": "A",
        "authorized_official_last_name": "GRAVES",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT/ADMINISTRATOR",
        "authorized_official_telephone_number": "508-234-7306",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "0896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09-27121",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON COMMUNITY HEALTHCA",
            "identifier": "38",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF MA",
            "identifier": "2222531201",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Camillus Nursing Home",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Bakheet Shenoda
• Kristin L. Small
• Brett Smith
• Francine Smith, PH.D., APRN, BC
• Cody Spencer
• Jake Adam Stallone
• Elysia Stauffer
• Kristi Kay Stauffer, M.A.
• Jennifer Steere, DPT
• Carolyn Anne Stocker, RD

• Skilled Nursing Facility in Whitinsville, MA
• Providers in Whitinsville, MA by specialty
• Skilled Nursing Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.