Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ellis Nursing Home, Inc

Organization Geriatric Medicine (Family Medicine) Physician · NPI 1790772192

Ellis Nursing Home, Inc is a Geriatric Medicine (Family Medicine) Physician in Norwood, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2005.

Licensed in
MA
In the registry since
2005
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

135 Ellis Ave
Norwood, MA 02062-3946
Phone: (781) 762-6880
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X
Geriatric Medicine (Family Medicine) Physician Taxonomy 207QG0300X · Licence 0793 (MA)
Rehabilitation Clinic/Center Taxonomy 261QR0400X

Record details

NPI number1790772192
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Danielle Federico — Business Manger · (781) 237-8503
NPI enumeratedSeptember 30, 2005
Last updated in NPPESJanuary 17, 2018
Mailing address135 Ellis Ave, Norwood, MA 02062-3946