Src West Springfield, INC.
Skilled Nursing Facility in West Springfield, Massachusetts
1336190867- Practice location
- 42 Prospect Ave, West Springfield, MA 01089-4510
- Phone
- 413-733-3151
- Fax
- 413-731-9984
- Last updated
- October 5, 2012
Src West Springfield, INC. is a healthcare organization based in West Springfield, MA. Src West Springfield, INC. practices in West Springfield, MA. The NPI Number for Src West Springfield, INC. is 1336190867 and holds a License No. 0068 (MA). The current practice location address for Src West Springfield, INC. is 42 Prospect Ave, West Springfield, MA 01089-4510 and can be reached out via phone at 413-733-3151 and via fax at 413-731-9984.
Provider Profile Details
- NPI Number
- 1336190867
- Provider Name
- Src West Springfield, INC.
- Provider Entity Type
- Organization
- Address
- 42 Prospect Ave, West Springfield, MA 01089-4510
- Phone Number
- 413-733-3151
- Fax Number
- 413-731-9984
- Primary Taxonomy
- Skilled Nursing Facility · 314000000X
- Organization Subpart
- No
- Authorized Official
- Ms. Tamilyn M. Levin, ESQ · Cfo · 781-707-9510
- Other Names
- Wingate At West Springfield 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
- 42 Prospect Ave
West Springfield, MA 01089-4510 - City
- West Springfield
- State
- Massachusetts
- Zip
- 01089-4510
- Phone Number
- 413-733-3151
- Fax Number
- 413-731-9984
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
- 0068
- License State
- MA
- Taxonomy
- Skilled Nursing Facility · 314000000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 West Springfield, INC.?
The NPI number of Src West Springfield, INC. is 1336190867. It was assigned on May 12, 2006 and is currently active in the NPPES registry.
What is the specialty of Src West Springfield, INC.?
Src West Springfield, INC. is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X), licensed in MA under license number 0068.
Where does Src West Springfield, INC. practice?
The practice location is 42 Prospect Ave, West Springfield, MA 01089-4510. The office can be reached at 413-733-3151 (phone) or 413-731-9984 (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 1336190867 directly on the NPPES registry website.