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ANDOVER MANOR REHAB AND NURSING LLC
NPI 1508543331
Skilled Nursing Facility in Andover, MA

Active since July 03, 2023CLIA 22D0071277 · Waiver
1/5
Overall Rating
89 MORTON ST, ANDOVER, MA 01810(978) 475-0944(978) 470-8504 Get Directions Write a Review

NPPES record last updated: August 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 15, 2023, Jul 3, 2023 (2 updates tracked since 2023).

About Andover Manor Rehab And Nursing Llc NPPES

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

ANDOVER MANOR REHAB AND NURSING LLC (NPI 1508543331) is a healthcare organization registered as a skilled nursing facility in Andover, Massachusetts and active in the NPI registry since July 2023. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Benjamin Friedman, Cfo, as its authorized official.

NPPES Registry Identity

NPI1508543331
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameANDOVER MANOR REHAB AND NURSING LLC
Location Address89 MORTON STAndover, MA 01810-2036
Mailing Address7b Medical Park DrPomona, NY 10970-3516 · (845) 414-3300 · Fax (845) 517-4796
Phone(978) 475-0944
Fax(978) 470-8504
Organization SubpartNo
Authorized OfficialBenjamin FriedmanCfo · (845) 414-3300
Enumeration DateJuly 3, 2023
Last NPPES UpdateAugust 15, 20232 updates tracked since enumeration
NPPES CertifiedAugust 15, 2023
✔ NPI 1508543331 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.
89 MORTON ST, Andover, MA 01810
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.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 22D0071277

Andover Manor Rehab And Nursing LLC · Andover, MA
Active · expires Aug 31, 2026
CLIA Number22D0071277
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorChaim Millman
Laboratory Phone(845) 414-3300
Laboratory LocationAndover Manor Rehab And Nursing LLC89 Morton St, Andover, MA 01810
CLIA data matches this NPI record on: Address Name Phone
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 Andover Manor Rehab And Nursing (CMS certification number 225294), from CMS Care Compare.

Andover Manor Rehab And Nursing

Nursing home · Andover, MA
1/5 CMS Overall Rating
OwnershipFor profit - Limited Liability company
CMS Certification Number225294
Certified Beds174 beds111 residents per day on average
Medicare & Medicaid Participant SinceFebruary 20, 1987
Resident & Family CouncilResident council
Automatic sprinkler system Ownership changed in last 12 months

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.
3/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
4/5
Staffing
Based on nursing staff hours relative to resident needs.
2/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
133
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 2.13 · LPN 1.07 · RN 0.47
3.67 hrs per resident per day
Weekend Nurse Staffing
3.32 hrs per resident per day
Physical Therapist Staffing
0.01 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
52.3%
Registered Nurse Turnover
73.3%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
5
Infection-Control Citations
0
Fines
2 totaling $74,993.75
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 19

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

BRIANNA LEE LOWDEN COTA
Occupational Therapy Assistant
89 MORTON ST
ANDOVER, MA 01810
Essex County (978) 475-0944
AMANDA LEE COTE
Occupational Therapist
89 MORTON ST
ANDOVER, MA 01810
Essex County (978) 475-0944
DEANA SOUSA
Physical Therapist
89 MORTON ST
ANDOVER, MA 01810
Essex County (978) 475-0944
AILEEN SMOLSKI OT
Occupational Therapist
89 MORTON ST
ANDOVER, MA 01810
Essex County (978) 495-0944
ACADEMY NURSING HOME INC
Skilled Nursing Facility
89 MORTON ST
ANDOVER, MA 01810
Essex County (978) 475-0944
MRS. JENNIFER L O'HANDLEY OT/L
Occupational Therapist (Physical Rehabilitation)
89 MORTON ST
ANDOVER, MA 01810
Essex County (978) 475-0944
MS. KAREN CHEEVER COTA/L
Occupational Therapy Assistant
89 MORTON ST
ANDOVER, MA 01810
Essex County (978) 475-0944
AMANDA ORZEWICZ
Speech-Language Pathologist
89 MORTON ST
ANDOVER, MA 01810
Essex County (978) 475-5793

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 Andover Manor Rehab And Nursing LLC's NPI number?

The NPI number for Andover Manor Rehab And Nursing LLC is 1508543331. It was assigned to this organization in the NPPES registry on July 3, 2023.

Where is Andover Manor Rehab And Nursing LLC located?

Andover Manor Rehab And Nursing LLC is located at 89 Morton St, Andover, MA 01810. The listed phone number is (978) 475-0944.

What is Andover Manor Rehab And Nursing LLC's specialty?

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

Does Andover Manor Rehab And Nursing LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D0071277) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Andover Manor Rehab And Nursing LLC a Medicare-certified nursing home?

Yes. Andover Manor Rehab And Nursing is a Medicare-certified nursing home with 174 certified beds.

What quality rating does Andover Manor Rehab And Nursing LLC have?

CMS rates Andover Manor Rehab And Nursing 1 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Andover Manor Rehab And Nursing LLC accept?

Health plans from Harvard Pilgrim Health Care list Andover Manor Rehab And Nursing LLC 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 Andover Manor Rehab And Nursing LLC was last updated on August 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.