Healthcare Provider Details

I. General information

NPI: 1780503250
Provider Name (Legal Business Name): ELMWOOD COMMON CARE CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

743 MAIN ST
MELROSE MA
02176-2707
US

IV. Provider business mailing address

743 MAIN ST
MELROSE MA
02176-2707
US

V. Phone/Fax

Practice location:
  • Phone: 781-662-7500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: AARON CHESLEY
Title or Position: MANAGER
Credential:
Phone: 949-338-9060