SRC MELROSE, LLC
NPI 1073987558
Skilled Nursing Facility in Melrose, MA

Active since November 20, 2015
15 GREEN ST, MELROSE, MA 02176(781) 665-3950 Get Directions Write a Review

NPPES record last updated: November 20, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Src Melrose, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SRC MELROSE, LLC (NPI 1073987558) is a healthcare organization registered as a skilled nursing facility in Melrose, Massachusetts and active in the NPI registry since November 2015. The organization lists Tamilyn Levin, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1073987558
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameSRC MELROSE, LLC
Location Address15 GREEN STMelrose, MA 02176-2811
Mailing Address63 Kendrick StNeedham, MA 02494-2708
Organization SubpartNo
Authorized OfficialTamilyn LevinChief Financial Officer · (781) 707-9510
Enumeration DateNovember 20, 2015
NPI 1073987558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(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.
15 GREEN ST, Melrose, MA 02176

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Skilled Nursing Facility
15 GREEN ST
MELROSE, MA 02176
Speech-Language Pathologist
15 GREEN ST, WINGATE AT MELROSE
MELROSE, MA 02176
Skilled Nursing Facility
15 GREEN ST
MELROSE, MA 02176

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Src Melrose, LLC's NPI number?

The NPI number for Src Melrose, LLC is 1073987558. It was assigned to this organization in the NPPES registry on November 20, 2015.

Where is Src Melrose, LLC located?

Src Melrose, LLC is located at 15 Green St, Melrose, MA 02176. The listed phone number is (781) 665-3950.

What is Src Melrose, LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for Src Melrose, LLC was last updated on November 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.