ERICKSON HEALTH MEDICAL GROUP OF MASSACHUSETTS, P.C . (NPI# 1639447006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639447006 |
| Entity Type | Organization |
| Organization Name | ERICKSON HEALTH MEDICAL GROUP OF MASSACHUSETTS, P.C . |
| Practice Address |
100 Brooksby Village Dr Peabody MA 01960-1438 |
| Practice Telephone | 8005239704 |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2011-12-13 |
| Authorized Official Name | DR. MATTHEW NARRETT (CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 8005239704 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 310400000X | Assisted Living Facility | 2263574 | MA | Nursing & Custodial Care Facilities |
| Y | 314000000X | Skilled Nursing Facility | 2263574 | MA | Nursing & Custodial Care Facilities |
| Street Address |
100 BROOKSBY VILLAGE DR |
| City | PEABODY |
| State | MA |
| Zip Code | 01960-1438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962407536 | Randolph S. Powers | Family Medicine | 100 Brooksby Village Dr, Peabody, MA 01960-1438 | 2005-06-20 |
| 1881104032 | Caroline Margaret Sims | Social Worker | 100 Brooksby Village Dr, Peabody, MA 01960-1438 | 2017-10-02 |
| 1215229620 | Sarah Robertson | Nurse Practitioner | 100 Brooksby Village Dr, Peabody, MA 01960-1438 | 2011-05-04 |
| 1265688352 | Erickson Health Medical Group of Ma | Durable Medical Equipment & Medical Supplies | 100 Brooksby Village Dr, Peabody, MA 01960-1438 | 2008-08-08 |
| 1669656187 | Donna M Agave | Nurse Practitioner | 100 Brooksby Village Dr, Peabody, MA 01960-1438 | 2007-12-19 |
| 1992852099 | Dennis A Tuck | Podiatrist | 100 Brooksby Village Dr, Peabody, MA 01960-1438 | 2007-01-04 |
| 1326115106 | Main Street Pharmacy, LLC | Pharmacy | 100 Brooksby Village Dr, Peabody, MA 01960-1438 | 2006-11-29 |
| 1154337681 | Ajaykumar S Patel | Internal Medicine | 100 Brooksby Village Dr, Peabody, MA 01960-1438 | 2006-08-01 |
| 1164442919 | Erickson Health Medical Group of Massachusetts PC | Family Medicine | 100 Brooksby Village Dr, Peabody, MA 01960-1438 | 2006-07-21 |
| 1326077124 | Janis Carmody | Nurse Practitioner | 100 Brooksby Village Dr, Peabody, MA 01960-1438 | 2006-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962020321 | Kathleen Marie Cliffe | Nurse Practitioner | 15 Sandra Rd, Peabody, MA 01960 | 2020-07-10 |
| 1801398102 | Janis Melanson | Counselor | Higgins Middle School, 85 Perkins Street, Peabody, MA 01960 | 2018-03-02 |
| 1679082036 | Kelsey Ann Lima | Social Worker | 9 Centennial Drive, Suite 202, Peabody, MA 01960 | 2017-09-28 |
| 1609394485 | Victoria Jade Olechowski | Specialist/Technologist | 1002 Crane Brook Way, Peabody, MA 01960 | 2017-08-31 |
| 1841715711 | Alexandra Lee Chasse | Counselor | 9 Cenntenial Drive, Suit 202, Peabody, MA 01960 | 2017-08-11 |
| 1275982936 | Miguel A Roque | Dentist | 6 Essex Center Drive Suite 110, Peabody, MA 01960 | 2016-06-03 |
| 1528412061 | Kabamedicalcorporation | Durable Medical Equipment & Medical Supplies | 484lowell Street, Peabody, MA 01960 | 2016-04-21 |
| 1437510815 | Ana Tereza T. Wescott | Dentist | 89 Foster Street, Peabody Family Health Center, Peabody, MA 01960 | 2016-03-14 |
| 1225496474 | Ashley Motta | Counselor | 24 Jennifer Lane, Peabody, MA 01960 | 2016-02-03 |
| 1578942645 | Cerebral Palsy of Eastern Mass Incorporated | Early Intervention Provider Agency | 6 Stratis Way, Peabody, MA 01960 | 2015-05-22 |
| Find all providers in zip 01960 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902104771 | Peabody Operator, LLC | Skilled Nursing Facility | 407 N. Locust Street, Peabody, KS 66866-1117 | 2011-03-03 |
| 1376627331 | Peabody Management Systems, Inc | Skilled Nursing Facility | 96 Forest St, Peabody, MA 01960-3907 | 2006-10-25 |
| 1730287632 | Jewish Rehabilitation Center for Aged of The North Shore, Inc. | Skilled Nursing Facility | 240 Lynnfield St, Peabody, MA 01960-5055 | 2006-09-21 |
| 1104922566 | Will-mark Nursing Homes Inc | Skilled Nursing Facility | 210 Lowell St, Peabody, MA 01960-4201 | 2006-09-15 |
| 1386677565 | Markleysburg Healthcare Investors | Skilled Nursing Facility | 500 Peabody, Peabody, KS 66866-1206 | 2006-07-09 |
| 1780663336 | Brooksby Village Inc. | Skilled Nursing Facility | 400 Brooksby Village Dr, Attn: Extended Care Administrator, Peabody, MA 01960-1488 | 2006-01-12 |
| 1356328140 | Alliance Health of Massachusetts Inc | Skilled Nursing Facility | 22 Johnson St, Peabody, MA 01960 | 2005-12-22 |
| 1770581555 | 199 Andover Street Operating Company, LLC | Skilled Nursing Facility | 199 Andover Street Route 114w, Peabody, MA 01960 | 2005-07-14 |
| 1255478962 | Jewish Rehabilitation Center | Skilled Nursing Facility | 240 Lynnfield St, Peabody, MA 01960-5055 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255945325 | Holyoke Care Center, LLC | Skilled Nursing Facility | Holyoke Care Center, LLC, 35 Holy Family Road, Holyoke, MA 01040 | 2020-09-04 |
| 1093365322 | Seashore Pointe Rehab Center LLC | Skilled Nursing Facility | Seashore Pointe Rehab Center LLC, 100 Alden Street, Provincetown, MA 02657 | 2019-09-18 |
| 1548813850 | Pleasant Bay of Brewster Rehab Center LLC | Skilled Nursing Facility | 383 South Orleans Road, Brewster, MA 02631 | 2019-07-17 |
| 1396208039 | Wilmington Rehab Center LLC | Skilled Nursing Facility | 90 West Street, Wilmington, MA 01887 | 2019-04-10 |
| 1972039113 | Lutheran Home of Jamaica Plain, Inc. | Skilled Nursing Facility | 174 Forest Hills St, Jamaica Plain, MA 02130-3353 | 2017-05-09 |
| 1033657796 | Regis College | Skilled Nursing Facility | 1 Chase Ln, Lynn, MA 01902-3266 | 2017-02-02 |
| 1174061832 | Regis College | Skilled Nursing Facility | 88 Franklin St, Lynn, MA 01902-4168 | 2017-02-02 |
| 1679010193 | Juliana | Skilled Nursing Facility | 414 Shaw St, Braintree, MA 02184-1226 | 2017-01-22 |
| 1174067052 | Companion Health Services | Skilled Nursing Facility | 284 North St, Boston, MA 02113-2108 | 2016-12-12 |
| 1104276187 | National Healthcare Corporation | Skilled Nursing Facility | 421 Laurel St, Bridgewater, MA 02324-2703 | 2016-06-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ERICKSON HEALTH MEDICAL GROUP OF MASSACHUSETTS, P.C ..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.