NEW BEDFORD JEWISH CONVALESCENT HOME, INC.
NPI 1710980792
Skilled Nursing Facility in New Bedford, MA

Active since May 24, 2005
200 HAWTHORN ST, NEW BEDFORD, MA 02740(508) 997-9314(508) 996-3664 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About New Bedford Jewish Convalescent Home, Inc. NPPES

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

NEW BEDFORD JEWISH CONVALESCENT HOME, INC. (NPI 1710980792) is a healthcare organization registered as a skilled nursing facility in New Bedford, Massachusetts and active in the NPI registry since May 2005. The organization lists Carol A. Trudeau, Administrator, as its authorized official.

NPPES Registry Identity

NPI1710980792
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameNEW BEDFORD JEWISH CONVALESCENT HOME, INC.
Location Address200 HAWTHORN STNew Bedford, MA 02740-2201
Mailing Address200 Hawthorn StNew Bedford, MA 02740-2201 · (508) 997-9314 · Fax (508) 996-3664
Fax(508) 996-3664
Organization SubpartNo
Authorized OfficialCarol A. TrudeauAdministrator · (508) 997-9314
Enumeration DateMay 24, 2005
Last NPPES UpdateAugust 22, 2020
NPI 1710980792 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 · 225481
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.

200 HAWTHORN ST, New Bedford, MA 02740

Other Identifiers 1

Medicaid0998885MA

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 22D0887076

New Bedford Jewish Convalescent Home · New Bedford, MA
Expired · Jun 2, 2026
CLIA Number22D0887076
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJune 3, 2024
Certificate Expiration DateJune 2, 2026
Laboratory DirectorCarol A. Demello
Laboratory Phone(508) 997-9314
Laboratory LocationNew Bedford Jewish Convalescent Home200 Hawthorn Street, New Bedford, MA 02740
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 7

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

Speech-Language Pathologist
200 HAWTHORN ST
NEW BEDFORD, MA 02740
Occupational Therapist
200 HAWTHORN ST
NEW BEDFORD, MA 02740
Physical Therapist
200 HAWTHORN ST
NEW BEDFORD, MA 02740
Community Health Worker
200 HAWTHORN ST
NEW BEDFORD, MA 02740
Occupational Therapy Assistant
200 HAWTHORN ST
NEW BEDFORD, MA 02740
Occupational Therapist
200 HAWTHORN ST
NEW BEDFORD, MA 02740
Skilled Nursing Facility
200 HAWTHORN ST
NEW BEDFORD, MA 02740

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710980792, enumerated as an "organization" on May 24, 2005.

The provider is located at 200 HAWTHORN ST NEW BEDFORD, MA 02740 and the phone number is (508) 997-9314.

Skilled Nursing Facility with taxonomy code 314000000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.