Sudbury Pines Extended Care Facility
NPI 1215924147 · Skilled Nursing Facility · Sudbury, MA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sudbury Pines Extended Care Facility is a Skilled Nursing Facility organization in Sudbury, MA (NPI 1215924147).
Provider details
- NPI number
- 1215924147
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Roberta Henderson, Administrator(978) 443-9000
- License
- 0382 (MA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
21 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Sudbury Pines Extended Care
Registry dates
- Enumerated
- 2005-10-05
- Last updated
- 2012-03-28
Frequently asked questions
- What is Sudbury Pines Extended Care Facility's NPI number?
- Sudbury Pines Extended Care Facility's National Provider Identifier (NPI) is 1215924147, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sudbury Pines Extended Care Facility?
- Sudbury Pines Extended Care Facility is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Sudbury Pines Extended Care Facility located?
- Sudbury Pines Extended Care Facility's practice location on file with NPPES is 642 Boston Post Rd, Sudbury, MA 01776-3302.
- What is Sudbury Pines Extended Care Facility's phone number?
- The practice phone number listed in the NPPES registry for Sudbury Pines Extended Care Facility is (978) 443-9000.
- Does Sudbury Pines Extended Care Facility accept Medicare?
- Sudbury Pines Extended Care Facility is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Sudbury Pines Extended Care Facility?
- The authorized official listed on Sudbury Pines Extended Care Facility's NPPES record is Roberta Henderson, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sudbury Pines Extended Care Facility's NPI active?
- Yes — Sudbury Pines Extended Care Facility's NPI (1215924147) is active in the NPPES registry as of the last update on 2012-03-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.