Active NPIOrganization

Src Hampden, INC.

Skilled Nursing Facility in Hampden, Massachusetts

NPI Number1003867532
Practice location
34 Main St, Hampden, MA 01036-9642
Fax
413-566-8488
Last updated
October 5, 2012

Src Hampden, INC. is a healthcare organization based in Hampden, MA. Src Hampden, INC. practices in Hampden, MA. The NPI Number for Src Hampden, INC. is 1003867532 and holds a License No. 0057 (MA). The current practice location address for Src Hampden, INC. is 34 Main St, Hampden, MA 01036-9642 and can be reached out via phone at 413-566-5511 and via fax at 413-566-8488.

Provider Profile Details

NPI Number
1003867532
Provider Name
Src Hampden, INC.
Provider Entity Type
Organization
Address
34 Main St, Hampden, MA 01036-9642
Phone Number
413-566-5511
Fax Number
413-566-8488
Primary Taxonomy
Skilled Nursing Facility · 314000000X
Organization Subpart
No
Authorized Official
Ms. Tamilyn M. Levin, ESQ · Cfo · 781-707-9510
Other Names
Wingate At Hampden Rehab. & Skilled Nsg. Residence (Doing Business As)
Provider Enumeration Date
May 12, 2006
Last Update Date
October 5, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
34 Main St
Hampden, MA 01036-9642
Zip
01036-9642
Phone Number
413-566-5511
Fax Number
413-566-8488
Hampden, MA 01036Get directions →

Provider Business Mailing Address Details

Address
63 Kendrick St
Needham, MA 02494-2708
City
Needham
State
MA
Zip
02494-2708
Phone Number
781-707-9085
Fax Number
781-707-9285

License Information

License Number
0057
License State
MA
Taxonomy
Skilled Nursing Facility · 314000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Src Hampden, INC.?

The NPI number of Src Hampden, INC. is 1003867532. It was assigned on May 12, 2006 and is currently active in the NPPES registry.

What is the specialty of Src Hampden, INC.?

Src Hampden, INC. is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X), licensed in MA under license number 0057.

Where does Src Hampden, INC. practice?

The practice location is 34 Main St, Hampden, MA 01036-9642. The office can be reached at 413-566-5511 (phone) or 413-566-8488 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003867532 directly on the NPPES registry website.

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