SUDBURY PINES EXTENDED CARE
NPI 1215924147
Skilled Nursing Facility in Sudbury, MA

Active since October 05, 2005CLIA 22D0877158 · Waiver
3/5
Overall Rating
642 BOSTON POST RD, SUDBURY, MA 01776(978) 443-9000(978) 443-9510 Get Directions Write a Review

NPPES record last updated: March 28, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sudbury Pines Extended Care NPPES

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

SUDBURY PINES EXTENDED CARE (NPI 1215924147) is a healthcare organization registered as a skilled nursing facility in Sudbury, Massachusetts and active in the NPI registry since October 2005. The organization holds a CLIA Waiver certificate valid through September 28, 2027 and lists Roberta C Henderson, Administrator, as its authorized official.

NPPES Registry Identity

NPI1215924147
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameSUDBURY PINES EXTENDED CARE FACILITY
Location Address642 BOSTON POST RDSudbury, MA 01776-3302
Mailing Address642 Boston Post RdSudbury, MA 01776-3302 · (978) 443-9000 · Fax (978) 443-9510
Fax(978) 443-9510
Organization SubpartNo
Authorized OfficialRoberta C HendersonAdministrator · (978) 443-9000
Enumeration DateOctober 5, 2005
Last NPPES UpdateMarch 28, 2012
NPI 1215924147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in MA · 0382
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.

642 BOSTON POST RD, Sudbury, MA 01776

Other Names 1

Doing Business AsSudbury Pines Extended Care

Other Identifiers 3

Other225531MA · Oscar Certification
Medicare ID-Type Unspecified225531MA
Medicaid0926248MA

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 22D0877158

Sudbury Pines Extended Care Facility · Sudbury, MA
Active · expires Sep 28, 2027
CLIA Number22D0877158
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 29, 2025
Certificate Expiration DateSeptember 28, 2027
Laboratory DirectorAlexis C. Keohan
Laboratory Phone(508) 443-9000
Laboratory LocationSudbury Pines Extended Care Facility642 Boston Post Road, Sudbury, MA 01776
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Sudbury Pines Extended Care (CMS certification number 225531), from CMS Care Compare.

Sudbury Pines Extended Care

Nursing home · Sudbury, MA
3/5 CMS Overall Rating
OwnershipFor profit - Corporation
CMS Certification Number225531
Certified Beds92 beds86 residents per day on average
Medicare & Medicaid Participant SinceJanuary 8, 1991
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
3/5
Long-Stay Quality
Quality of care delivered to long-term residents.
2/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
3/5
Staffing
Based on nursing staff hours relative to resident needs.
1/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
28.67
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.45 · LPN 0.85 · RN 0.37
3.68 hrs per resident per day
Weekend Nurse Staffing
3.14 hrs per resident per day
Physical Therapist Staffing
0.02 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
93%
Registered Nurse Turnover
92.3%
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
0
Infection-Control Citations
1
Fines
2 totaling $19,500.00
Medicare Payment Denials
0
Total Penalties
2
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 6

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

Physical Therapist
642 BOSTON POST RD
SUDBURY, MA 01776
Occupational Therapy Assistant
642 BOSTON POST RD
SUDBURY, MA 01776
Hospice, Inpatient
642 BOSTON POST RD
SUDBURY, MA 01776
Speech-Language Pathologist
642 BOSTON POST RD
SUDBURY, MA 01776
Hospice Care, Community Based
642 BOSTON POST RD
SUDBURY, MA 01776
Physical Therapy Assistant
642 BOSTON POST RD
SUDBURY, MA 01776

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 Sudbury Pines Extended Care Facility's NPI number?

The NPI number for Sudbury Pines Extended Care Facility is 1215924147. It was assigned to this organization in the NPPES registry on October 5, 2005. The provider is doing business as Sudbury Pines Extended Care.

Where is Sudbury Pines Extended Care Facility located?

Sudbury Pines Extended Care Facility is located at 642 Boston Post Rd, Sudbury, MA 01776. The listed phone number is (978) 443-9000.

What is Sudbury Pines Extended Care Facility's specialty?

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

Does Sudbury Pines Extended Care Facility hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D0877158) is associated with this NPI, valid through September 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Sudbury Pines Extended Care Facility a Medicare-certified nursing home?

Yes. Sudbury Pines Extended Care is a Medicare-certified nursing home with 92 certified beds.

What quality rating does Sudbury Pines Extended Care Facility have?

CMS rates Sudbury Pines Extended Care 3 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Sudbury Pines Extended Care Facility accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Sudbury Pines Extended Care Facility 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 Sudbury Pines Extended Care Facility was last updated on March 28, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.