PLYMOUTH REHAB & HEALTH CARE CENTER
NPI 1366858201
Skilled Nursing Facility - Nursing Care, Pediatric in Plymouth, MA

Q: What is Plymouth Ma Snf, LLC's NPI number?

The NPI number for Plymouth Ma Snf, LLC is 1366858201. It was assigned to this organization in the NPPES registry on July 10, 2014. The provider is doing business as Plymouth Rehab & Health Care Center.

Q: What is Plymouth Ma Snf, LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility, specializing in Nursing Care, Pediatric, with taxonomy code 3140N1450X.

Active since July 10, 2014CLIA 22D0080137 · Waiver

123 SOUTH ST, PLYMOUTH, MA 02360(508) 746-4343(508) 746-8240 Get Directions Write a Review

NPPES record last updated: February 16, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Plymouth Rehab & Health Care Center NPPES

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

PLYMOUTH REHAB & HEALTH CARE CENTER (NPI 1366858201) is a healthcare organization registered as a nursing care, pediatric in Plymouth, Massachusetts and active in the NPI registry since July 2014. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Lawrence G Santilli, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1366858201

Entity TypeOrganization

Primary Taxonomy3140N1450X

Legal Business NamePLYMOUTH MA SNF, LLC

Location Address123 SOUTH STPlymouth, MA 02360-2945

Mailing Address123 South StPlymouth, MA 02360-2945 · (508) 746-4343 · Fax (508) 746-8240

Phone(508) 746-4343

Fax(508) 746-8240

Organization SubpartYesParent: Athena Health Care Associates

Authorized OfficialLawrence G SantilliManaging Member · (860) 751-3900

Enumeration DateJuly 10, 2014

Last NPPES UpdateFebruary 16, 2023

NPPES CertifiedFebruary 16, 2023

✔ NPI 1366858201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing Facility · Nursing Care, PediatricNursing & Custodial Care Facilities

Taxonomy Code3140N1450X

License✔ Licensed in MA · 0734

Definition

A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.

123 SOUTH ST, Plymouth, MA 02360

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Other Names 1

Doing Business AsPlymouth Rehab & Health Care Center

Other Identifiers 1

Medicaid110094527DMA

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 22D0080137

Plymouth Rehabilitation & Health Care Center · Plymouth, MA

Active · expires Aug 31, 2026

CLIA Number22D0080137

Laboratory TypeSkilled Nursing Facility/Nursing Facility

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorRachelle Ibbitson

Laboratory Phone(508) 746-4343

Laboratory LocationPlymouth Rehabilitation & Health Care Center123 South St, Plymouth, MA 02360

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

JUDITH FREEMAN PT

Physical Therapist

123 SOUTH ST
PLYMOUTH, MA 02360

Plymouth County (508) 746-4343

PLYMOUTH SNF OPERATIONS, LLC

Skilled Nursing Facility

123 SOUTH ST
PLYMOUTH, MA 02360

Plymouth County (508) 746-4343

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 Plymouth Ma Snf, LLC's NPI number?

The NPI number for Plymouth Ma Snf, LLC is 1366858201. It was assigned to this organization in the NPPES registry on July 10, 2014. The provider is doing business as Plymouth Rehab & Health Care Center.

Where is Plymouth Ma Snf, LLC located?

Plymouth Ma Snf, LLC is located at 123 South St, Plymouth, MA 02360. The listed phone number is (508) 746-4343.

What is Plymouth Ma Snf, LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility, specializing in Nursing Care, Pediatric, with taxonomy code 3140N1450X.

Does Plymouth Ma Snf, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D0080137) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Plymouth Ma Snf, LLC was last updated on February 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.