Active NPI
Symmes Life Care, Inc.
Doing business as Brookhaven at Lexington
- Skilled Nursing Facility
- Lexington, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0913
- Legal business name
- SYMMES LIFE CARE, INC.
- Doing business as
- Brookhaven at Lexington
- Practice address
- 1010 Waltham St
Lexington, MA 02421-8044 - Phone
- (781) 863-9660
- Fax
- (781) 863-9944
- NPI assigned
- Jan 9, 2006
- Last updated
- Nov 24, 2008
- 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
- Susanna Kirkpatrick
- Title
- Cfo
- Phone
- (781) 372-0208
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 0913 | MA | Primary |
Addresses
Primary practice location
1010 Waltham St
Lexington, MA 02421-8044
Mailing address
1010 Waltham St
Lexington, MA 02421-8044
Other names 1
- Brookhaven at Lexington
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041214000023 | MA | Part A Provider - Skilled Nursing Facility | 3678530458 | Practice locations: Lexington, MA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1962480061. Details of each certification follow.
Skilled nursing facility certification: CCN 225367
- Legal name
- SYMMES LIFE CARE, INC.
- Doing business as
- BROOKHAVEN AT LEXINGTON
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF (Medicare) only
- Participating since
- Jan 9, 1990
- Last certification
- Oct 22, 2024
- Beds
- 49
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Incorporated
- Dec 21, 1984 in MA
- Enrollment address
- 1010 Waltham St
Ste 600
Lexington, MA 02421-8052 - Nursing home name
- BROOKHAVEN AT LEXINGTON
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Brookhaven at Lexington
- Overall star rating
- Health inspections
- Quality measures
- Type
- Medicare
- Ownership
- Non profit - Corporation
- Certified
- Jan 9, 1990
- Medicare certification status
- Active
- Certified beds
- 49
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 |
|---|---|---|---|
| 22D0969308 | Brookhaven at Lexington | Certificate of waiver | Jan 10, 2028 |
National Provider Directory
National Provider DirectoryLocations
1010 Waltham St
Ste 600
Lexington, MA 02421
Phone (781) 372-0259
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Robert Cohen | Corporate Officer | Feb 6, 2019 | |
| Ralph Dunham | Corporate Officer | Feb 6, 2019 | |
| Erin Finn | Corporate Director | Nov 2, 2010 | |
| W-2 Managing Employee | Nov 2, 2010 | ||
| Eric Schwartz | Corporate Officer | Feb 6, 2019 | |
| Pamela W McNamara | Corporate Officer | Feb 6, 2019 | |
| Susanna Kirpatrick | Corporate Director | Nov 24, 2009 | |
| W-2 Managing Employee | Nov 24, 2009 | ||
| James Freehling | Corporate Officer | Feb 6, 2019 | |
| Corporate Director | Dec 14, 2004 | ||
| W-2 Managing Employee | Dec 14, 2004 |
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Gerontology Nurse Practitioner
- Lexington, MA
- NPI 1306181888
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Cambridge, MA
- NPI 1659373033
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136764800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1227484800000",
"number": "1962480061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 WALTHAM ST",
"city": "LEXINGTON",
"state": "MA",
"postal_code": "024218044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 WALTHAM ST",
"city": "LEXINGTON",
"state": "MA",
"postal_code": "024218044",
"telephone_number": "781-863-9660",
"fax_number": "781-863-9944"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SYMMES LIFE CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-09",
"last_updated": "2008-11-24",
"status": "A",
"authorized_official_last_name": "KIRKPATRICK",
"authorized_official_first_name": "SUSANNA",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "781-372-0208"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MA",
"license": "0913",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Brookhaven at Lexington",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lexington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2008; 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.