Centennial Park Retirement Village – Skilled Nursing Facility, NPI 1114929684

Centennial Park Retirement Village is a healthcare provider. based in Newton, Massachusetts. specializing in Skilled Nursing Facility. The organization holds a License No. 47-0704192/11 (NE). The NPI Number for Centennial Park Retirement Village is 1114929684

Main info

Organization
Name
Centennial Park Retirement Village
NPI
1114929684
Phone
(617) 796-8387
Address
400 CENTRE STREET
Authorized Official
KATHERINE E POTTER PRESIDENT & CHIEF EXECUTIVE OFFICER
Enumeration Date
12 August 2005
Last Update Date
26 March 2019
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness80
Years active:20State licenses:2Digital endpointsUpdated within 12 months

Provider Addresses for Centennial Park Retirement Village

  • 400, Centre Street, Newton Corner, Newton, Middlesex County, Massachusetts, 02458, United States

    NEWTON, MA 024582094

    Phone: (617) 796-8387

    Fax: (617) 796-8375

    Type: Mailing

  • 510 CENTENNIAL CIRCLE

    NORTH PLATTE, NE 691016586

    Phone: (308) 534-7000

    Fax: (308) 534-8216

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02458)

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Reviews

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Frequently asked questions

What federal number belongs to Centennial Park Retirement Village?
The federal identifier for Centennial Park Retirement Village is NPI 1114929684.
Does this profile mean Centennial Park Retirement Village is currently active?
Yes — Centennial Park Retirement Village appears active in the national provider directory.
What kind of provider is Centennial Park Retirement Village?
The page reflects Skilled Nursing Facility for Centennial Park Retirement Village. Clinical services aligned with this taxonomy classification.
Does Centennial Park Retirement Village practice in Massachusetts?
You will see Newton, Massachusetts on file for Centennial Park Retirement Village alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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