BOURNE MANOR NURSING, LLC (NPI# 1699910752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699910752 |
Entity Type | Organization |
Organization Name | BOURNE MANOR NURSING, LLC |
Practice Address |
146 Macarthur Blvd Bourne MA 02532-3902 |
Mailing Address |
52 Overlook Dr Windsor CT 06095-2657 |
Practice Telephone | 5087598880 |
Enumeration Date | 2008-12-03 |
Last Update Date | 2009-02-09 |
Authorized Official Name | JOHN C CHAKALOS (MANAGER) |
Authorized Official Telephone | 8606885994 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 314000000X | Skilled Nursing Facility | 0903 | MA | Nursing & Custodial Care Facilities |
Street Address |
146 MACARTHUR BLVD |
City | BOURNE |
State | MA |
Zip Code | 02532-3902 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396880449 | Bourne Management Systems Inc | Skilled Nursing Facility | 146 Macarthur Blvd, Bourne, MA 02532-3902 | 2007-02-20 |
1427538156 | Kirsten Diane Jerome | Physical Therapist | 146 Macarthur Blvd, Bourne, MA 02532-3902 | 2018-08-21 |
1922596592 | Jaclyn Sylvia Davin | Occupational Therapist | 146 Macarthur Blvd, Bourne, MA 02532-3902 | 2018-04-28 |
1457891004 | Ernest Bovi | Occupational Therapist | 146 Macarthur Blvd, Bourne, MA 02532-3902 | 2017-03-01 |
1053792242 | Stephanie L Marceau | Physical Therapy Assistant | 146 Macarthur Blvd, Bourne, MA 02532-3902 | 2015-06-12 |
1427398957 | Heather Lynn Brunelle | Occupational Therapy Assistant | 146 Macarthur Blvd, Bourne, MA 02532-3902 | 2013-02-20 |
1467728782 | James Paul Eaton | Occupational Therapy Assistant | 146 Macarthur Blvd, Bourne, MA 02532-3902 | 2012-03-30 |
1831329366 | Michael T Plante | Physical Therapist | 146 Macarthur Blvd, Bourne, MA 02532-3902 | 2009-07-17 |
1427233113 | Patrick Griffin | Speech-Language Pathologist | 146 Macarthur Blvd, Bourne, MA 02532-3902 | 2008-01-01 |
1417138124 | Brenda Dalrymple | Physical Therapist | 146 Macarthur Blvd, Bourne, MA 02532-3902 | 2007-11-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194380766 | Continuous Motion Physical Therapy | Physical Therapist | 10 Millenium Drive, Bourne, MA 02532 | 2019-05-08 |
1023466380 | Margaret Crane | Student in an Organized Health Care Education/Training Program | 25 Presidents Road, Bourne, MA 02532 | 2016-05-27 |
1003072588 | Sylvia C Koo | Dentist | 9 County Road, Bourne, MA 02532 | 2008-08-04 |
1285833848 | Eye Health Care of Bourne | Ophthalmology | 1 Trowbridge Rd., Suite 333, Bourne, MA 02532 | 2007-07-13 |
1235290024 | Dana F Zweig | Family Medicine | 118c Waterhouse Road, Bourne, MA 02532 | 2006-12-13 |
1053491779 | Royal Health Group LLC | Skilled Nursing Facility | 8 Lewis Point Road, Buzzards Bay, MA 02532 | 2006-10-17 |
1609988328 | Dana Christopher Ricker | Optometrist | 16 Macarthur Blvd, Bourne, MA 02532 | 2006-08-31 |
1417922311 | Cheryl A Hitchings | Physician Assistant | 1 Trowbridge Road, Suite 100, Bourne, MA 02532 | 2006-02-22 |
1023007283 | Scott M Harris | Specialist | One Trowbridge Road, Bourne, MA 02532 | 2005-10-19 |
1902285414 | Odonata Psychotherapy & Retreat Center LLC | Social Worker | 121 Main St, Buzzards Bay, MA 02532 | 2015-05-29 |
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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 |
---|---|---|---|---|
1396880449 | Bourne Management Systems Inc | Skilled Nursing Facility | 146 Macarthur Blvd, Bourne, MA 02532-3902 | 2007-02-20 |
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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 |
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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.