BOURNE MANOR EXTENDED CARE FACILITY
NPI 1396880449
Skilled Nursing Facility in Bourne, MA

Active since February 20, 2007CLIA 22D0080571 · Waiver
146 MACARTHUR BLVD, BOURNE, MA 02532(508) 759-8880(508) 759-8883 Get Directions Write a Review

NPPES record last updated: November 13, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bourne Manor Extended Care Facility NPPES

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

BOURNE MANOR EXTENDED CARE FACILITY (NPI 1396880449) is a healthcare organization registered as a skilled nursing facility in Bourne, Massachusetts and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Amale Neary, Associate Vp Finance, as its authorized official.

NPPES Registry Identity

NPI1396880449
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameBOURNE MANAGEMENT SYSTEMS INC
Location Address146 MACARTHUR BLVDBourne, MA 02532-3902
Mailing Address146 Macarthur BlvdBourne, MA 02532-3902 · (508) 759-8880 · Fax (508) 759-8883
Fax(508) 759-8883
Organization SubpartNo
Authorized OfficialAmale NearyAssociate Vp Finance · (413) 447-2416
Enumeration DateFebruary 20, 2007
Last NPPES UpdateNovember 13, 2007
NPI 1396880449 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 · 0903
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.
146 MACARTHUR BLVD, Bourne, MA 02532

Other Names 1

Doing Business AsBourne Manor Extended Care Facility

Other Identifiers 3

Medicaid0919241MA
Medicare ID-Type Unspecified22-5348
Medicare NSC4834510001MA

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 22D0080571

Bourne Manor Extended Care Facility · Bourne, MA
Active · expires Aug 31, 2026
CLIA Number22D0080571
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorIrving Restituyo
Laboratory Phone(508) 759-8880
Laboratory LocationBourne Manor Extended Care Facility146 Macarthur Blvd, Bourne, MA 02532
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 20

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

Physical Therapist
146 MACARTHUR BLVD
BUZZARDS BAY, MA 02532
Physical Therapy Assistant
146 MACARTHUR BLVD
BUZZARDS BAY, MA 02532
Physical Therapy Assistant
146 MACARTHUR BLVD
BOURNE, MA 02532
Physical Therapist
146 MACARTHUR BLVD
BOURNE, MA 02532
Occupational Therapist
146 MACARTHUR BLVD
BUZZARDS BAY, MA 02532
Skilled Nursing Facility
146 MACARTHUR BLVD
BOURNE, MA 02532
Occupational Therapy Assistant
146 MACARTHUR BLVD
BUZZARDS BAY, MA 02532
Occupational Therapist
146 MACARTHUR BLVD
BOURNE, MA 02532

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 Bourne Management Systems Inc's NPI number?

The NPI number for Bourne Management Systems Inc is 1396880449. It was assigned to this organization in the NPPES registry on February 20, 2007. The provider is doing business as Bourne Manor Extended Care Facility.

Where is Bourne Management Systems Inc located?

Bourne Management Systems Inc is located at 146 Macarthur Blvd, Bourne, MA 02532. The listed phone number is (508) 759-8880.

What is Bourne Management Systems Inc's specialty?

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

Does Bourne Management Systems Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D0080571) 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 Bourne Management Systems Inc was last updated on November 13, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.