55 Cooper Street Operations LLC
Skilled Nursing Facility in Agawam, Massachusetts
1508048323- Practice location
- 55 Cooper St, Agawam, MA 01001-2149
- Phone
- 413-786-8000
- Fax
- 413-789-4735
- Last updated
- October 6, 2025
55 Cooper Street Operations LLC is a healthcare organization based in Agawam, MA. 55 Cooper Street Operations LLC practices in Agawam, MA. The NPI Number for 55 Cooper Street Operations LLC is 1508048323 and holds a License No. 0731 (MA). The current practice location address for 55 Cooper Street Operations LLC is 55 Cooper St, Agawam, MA 01001-2149 and can be reached out via phone at 413-786-8000 and via fax at 413-789-4735.
Provider Profile Details
- NPI Number
- 1508048323
- Provider Name
- 55 Cooper Street Operations LLC
- Provider Entity Type
- Organization
- Address
- 55 Cooper St, Agawam, MA 01001-2149
- Phone Number
- 413-786-8000
- Fax Number
- 413-789-4735
- Primary Taxonomy
- Skilled Nursing Facility · 314000000X
- Organization Subpart
- No
- Authorized Official
- Michael T Berg · Secretary · 610-444-6350
- Other Names
- Heritage Hall North (Doing Business As)
- Provider Enumeration Date
- December 4, 2007
- Last Update Date
- October 6, 2025
- Certification Date
- October 6, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 55 Cooper St
Agawam, MA 01001-2149 - City
- Agawam
- State
- Massachusetts
- Zip
- 01001-2149
- Phone Number
- 413-786-8000
- Fax Number
- 413-789-4735
Provider Business Mailing Address Details
- Address
- 101 E State St
Kennett Square, PA 19348-3109 - City
- Kennett Square
- State
- PA
- Zip
- 19348-3109
- Phone Number
- 610-925-4436
- Fax Number
- 610-925-4351
License Information
- License Number
- 0731
- 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 55 Cooper Street Operations LLC?
The NPI number of 55 Cooper Street Operations LLC is 1508048323. It was assigned on December 4, 2007 and is currently active in the NPPES registry.
What is the specialty of 55 Cooper Street Operations LLC?
55 Cooper Street Operations LLC is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X), licensed in MA under license number 0731.
Where does 55 Cooper Street Operations LLC practice?
The practice location is 55 Cooper St, Agawam, MA 01001-2149. The office can be reached at 413-786-8000 (phone) or 413-789-4735 (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 1508048323 directly on the NPPES registry website.