NPI Portal NPI Lookup & Verification

Src Harwich, LLC

Src Harwich, LLC is a healthcare organization registered as Skilled Nursing Facility in Harwich, MA, holding Type 2 (organization) NPI 1790159275 since 2015. The authorized official on file is Tamilyn Levin, Chief Financial Officer.

✓ Active NPI ✓ Valid NPI checksum

NPI 1790159275
Entity type Organization (Type 2)
Legal business name Src Harwich, LLC
Practice address 111 HEADWATERS DR, Harwich, MA, 02645
Phone 5084301717
Enumeration date 2015-11-20
Last updated in NPPES 2015-11-20

Authorized official

Name Tamilyn Levin
Title Chief Financial Officer
Phone 7817079510

Taxonomy & classification

Taxonomy code Specialty Primary License State
314000000X Skilled Nursing Facility Primary
Copy-ready billing details
Provider: Src Harwich, LLC
NPI: 1790159275
Taxonomy: 314000000X (Skilled Nursing Facility)
Address: 111 HEADWATERS DR, Harwich, MA, 02645

Providers at this address

NPI Name Type Specialty Location
1144293804 Katie Bresnahan Individual Physical Therapist Harwich, MA
1083894760 Epoch Senior Healthcare of Harwich, LLC Organization Skilled Nursing Facility Harwich, MA
1053769083 Melissa Long Individual Physical Therapist Harwich, MA
1154779981 Christin Young Individual Occupational Therapist Harwich, MA
1578110094 Jill Davis Individual Speech-Language Pathologist Harwich, MA
1013565431 Amanda Drozell Individual Occupational Therapy Assistant Harwich, MA
1285277012 Ginger Care, Inc. Organization Skilled Nursing Facility Harwich, MA
1801400783 Marie Stellato Individual Physical Therapy Assistant Harwich, MA

Verify this record

Cross-check NPI 1790159275 against the authoritative CMS record: view Src Harwich, LLC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2015-11-20. Verify at npiregistry.cms.hhs.gov.
Where is Src Harwich, LLC located?
The practice location on file with NPPES is in Harwich, MA.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2015-11-20.