LYNN SHORE REST HOME NP, INC. (NPI# 1720225154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720225154 |
| Entity Type | Organization |
| Organization Name | LYNN SHORE REST HOME NP, INC. |
| Other Organization Name | LYNN SHORE REST HOME |
| Practice Address |
37 Breed St Lynn MA 01902-3101 |
| Practice Telephone | 7815957110 |
| Mailing Telephone | 7815957110 |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2009-01-07 |
| Authorized Official Name | MR. DAVID J. SOLIMINE JR. (PRESIDENT) |
| Authorized Official Telephone | 7815998238 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
1287 | MA | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Lynn Shore Rest Home | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | LYNN SHORE REST HOME NP, INC. | 426 Broadway, Lynn, MA 01902 |
| Street Address |
37 BREED ST |
| City | LYNN |
| State | MA |
| Zip Code | 01902-3101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396902235 | Lynn Shore Rest Home, Inc | Custodial Care Facility | 37 Breed St, Lynn, MA 01902-3101 | 2008-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093291130 | Top Care Physical Therapy Rehab | Clinic/Center | 373 Chatham St # 2, Lynn, MA 01902 | 2018-07-12 |
| 1407343726 | Patricia De Leon | Developmental Therapist | 176 Franklin St., Lynn, MA 01902 | 2018-04-23 |
| 1578076725 | Janice S. Baltoumas | Dietitian, Registered | Element Care Inc., 37 Friend Street, Lynn, MA 01902 | 2017-11-09 |
| 1396263174 | Jayna Kathryn Doherty-kinloch | Social Worker | 31 Clark Street, Lynn, MA 01902 | 2017-08-31 |
| 1891219416 | Omobolanle O. Akinyemi | Licensed Practical Nurse | 9 Buffum St, Element Care Inc, Lynn, MA 01902 | 2017-07-26 |
| 1003330523 | Jessica Lee Crowley | Registered Nurse | 9 Buffum St., Element Care Inc, Lynn, MA 01902 | 2017-07-26 |
| 1689198228 | Shannon Gomatos | Registered Nurse | 20 School St., Lynn, MA 01902 | 2017-07-26 |
| 1578087193 | Josephine P. Cooke | Registered Nurse | 62 Market St., Element Care Inc, Lynn, MA 01902 | 2017-07-26 |
| 1316471568 | Ujunwa Okwukaogu | Registered Nurse | 118 Franklin Street #3, Lynn, MA 01902 | 2017-04-14 |
| 1033655501 | Francis Howard Crowley | Social Worker | 37 Friend Street, Element Care, Lynn, MA 01902 | 2017-01-09 |
| Find all providers in zip 01902 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962809723 | Medicine On Time Corp. | Custodial Care Facility | 154 Lynnway Unit 508, Lynn, MA 01902-3447 | 2014-11-21 |
| 1396902235 | Lynn Shore Rest Home, Inc | Custodial Care Facility | 37 Breed St, Lynn, MA 01902-3101 | 2008-05-19 |
| 1295992139 | Atlantic Rest Home, Inc | Custodial Care Facility | 60 Atlantic St, Lynn, MA 01902-3115 | 2008-05-19 |
| 1770729105 | Atlantic Rest Home Np, Inc. | Custodial Care Facility | 60 Atlantic St, Lynn, MA 01902-3115 | 2009-01-07 |
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| 1316390248 | Better Life At Home Inc. | Custodial Care Facility | 292 Salem St, Revere, MA 02151-1000 | 2016-07-15 |
| 1518350875 | Millennium Home Care LLC | Custodial Care Facility | 564 Main St Ste 203, Waltham, MA 02452-5559 | 2015-03-11 |
| 1750772570 | Chika Patience Okerekw-nwankwo | Custodial Care Facility | 22 Marion Street, Randolph, MA 02368 | 2015-02-16 |
| 1467852640 | Good Shepherd Services | Custodial Care Facility | 103 Selwyn Rd, Randolph, MA 02368-5185 | 2014-08-26 |
| 1255747838 | Gvna Healthcare, Inc | Custodial Care Facility | 34 Pearly Lane, Gardner, MA 01440-1736 | 2014-07-03 |
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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.