Active NPIOrganization

Agawam South Rehab And Nursing LLC

Skilled Nursing Facility in Agawam, Massachusetts

NPI Number1639856461
Practice location
65 Cooper St, Agawam, MA 01001-2149
Fax
413-306-6401
Last updated
August 15, 2023

Agawam South Rehab And Nursing LLC is a healthcare organization based in Agawam, MA. Agawam South Rehab And Nursing LLC practices in Agawam, MA. The NPI Number for Agawam South Rehab And Nursing LLC is 1639856461. The current practice location address for Agawam South Rehab And Nursing LLC is 65 Cooper St, Agawam, MA 01001-2149 and can be reached out via phone at 413-786-8000 and via fax at 413-306-6401.

Provider Profile Details

NPI Number
1639856461
Provider Name
Agawam South Rehab And Nursing LLC
Provider Entity Type
Organization
Address
65 Cooper St, Agawam, MA 01001-2149
Phone Number
413-786-8000
Fax Number
413-306-6401
Primary Taxonomy
Skilled Nursing Facility · 314000000X
Organization Subpart
No
Authorized Official
Benjamin Friedman · Cfo · 845-414-3300
Provider Enumeration Date
July 3, 2023
Last Update Date
August 15, 2023
Certification Date
August 15, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
65 Cooper St
Agawam, MA 01001-2149
City
Agawam
Zip
01001-2149
Phone Number
413-786-8000
Fax Number
413-306-6401
Agawam, MA 01001Get directions →

Provider Business Mailing Address Details

Address
7B Medical Park Dr
Pomona, NY 10970-3516
City
Pomona
State
NY
Zip
10970-3516
Phone Number
845-414-3300
Fax Number
845-517-4796

License Information

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 Agawam South Rehab And Nursing LLC?

The NPI number of Agawam South Rehab And Nursing LLC is 1639856461. It was assigned on July 3, 2023 and is currently active in the NPPES registry.

What is the specialty of Agawam South Rehab And Nursing LLC?

Agawam South Rehab And Nursing LLC is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X).

Where does Agawam South Rehab And Nursing LLC practice?

The practice location is 65 Cooper St, Agawam, MA 01001-2149. The office can be reached at 413-786-8000 (phone) or 413-306-6401 (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 1639856461 directly on the NPPES registry website.

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