MEDWAY COUNTRY MANOR SKILLED NURSING & REHABILITATION
NPI 1144223074
Skilled Nursing Facility in Medway, MA

Active since May 24, 2005CLIA 22D0074120 · Waiver
115 HOLLISTON ST, MEDWAY, MA 02053(508) 533-6634(508) 533-7048 Get Directions Write a Review

NPPES record last updated: July 30, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Medway Country Manor Skilled Nursing & Rehabilitation NPPES

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

MEDWAY COUNTRY MANOR SKILLED NURSING & REHABILITATION (NPI 1144223074) is a healthcare organization registered as a skilled nursing facility in Medway, Massachusetts and active in the NPI registry since May 2005. The organization holds a CLIA Waiver certificate valid through June 7, 2027 and lists David Simha, President, as its authorized official.

NPPES Registry Identity

NPI1144223074
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameMEDWAY COUNTRY MANOR, INC.
Location Address115 HOLLISTON STMedway, MA 02053-1954
Mailing Address115 Holliston StMedway, MA 02053-1954 · (508) 533-6634 · Fax (508) 533-7048
Fax(508) 533-7048
Organization SubpartNo
Authorized OfficialDavid SimhaPresident · (917) 885-7050
Enumeration DateMay 24, 2005
Last NPPES UpdateJuly 30, 2014
NPI 1144223074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in MA · 0840
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.
Also ListedPhysical TherapistTaxonomy 225100000X · License 0840 (MA)
Also ListedOccupational TherapistTaxonomy 225X00000X · License 0840 (MA)
Also ListedSpeech-Language PathologistTaxonomy 235Z00000X · License 0840 (MA)
115 HOLLISTON ST, Medway, MA 02053

Other Names 1

Doing Business AsMedway Country Manor Skilled Nursing & Rehabilitation

Other Identifiers 7

Other0461870001MA · Nsc
OtherY61422Blue Cross Blue Shield
Other2222541201MA · Blue Cross Blue Shield
OtherSG0026Blue Cross Blue Shield
Medicaid0910481MA
Medicare OSCAR/certification225412MA
OtherOG0035Blue Cross Blue Shield

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 22D0074120

Medway Country Manor · Medway, MA
Active · expires Jun 7, 2027
CLIA Number22D0074120
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJune 8, 2025
Certificate Expiration DateJune 7, 2027
Laboratory DirectorCarl Sousa MD
Laboratory Phone(508) 533-6634
Laboratory LocationMedway Country Manor115 Holliston Street, Medway, MA 02053
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

Dietitian, Registered
115 HOLLISTON ST
MEDWAY, MA 02053
Physical Therapist
115 HOLLISTON ST
MEDWAY, MA 02053
Speech-Language Pathologist
115 HOLLISTON ST
MEDWAY, MA 02053
Physical Therapist
115 HOLLISTON ST
MEDWAY, MA 02053
Speech-Language Pathologist
115 HOLLISTON ST
MEDWAY, MA 02053
Speech-Language Pathologist
115 HOLLISTON ST
MEDWAY, MA 02053
Occupational Therapist
115 HOLLISTON ST
MEDWAY, MA 02053
Speech-Language Pathologist
115 HOLLISTON ST
MEDWAY, MA 02053

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 Medway Country Manor, Inc.'s NPI number?

The NPI number for Medway Country Manor, Inc. is 1144223074. It was assigned to this organization in the NPPES registry on May 24, 2005. The provider is doing business as Medway Country Manor Skilled Nursing & Rehabilitation.

Where is Medway Country Manor, Inc. located?

Medway Country Manor, Inc. is located at 115 Holliston St, Medway, MA 02053. The listed phone number is (508) 533-6634.

What is Medway Country Manor, Inc.'s specialty?

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

Does Medway Country Manor, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D0074120) is associated with this NPI, valid through June 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Medway Country Manor, Inc. accept?

Health plans from Anthem Blue Cross and Blue Shield list Medway Country Manor, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Medway Country Manor, Inc. was last updated on July 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.