Active NPIOrganization

Agawam North Operating LLC

Skilled Nursing Facility in Agawam, Massachusetts

NPI Number1649175449
Practice location
55 Cooper St, Agawam, MA 01001-2149
Fax
—
Last updated
October 12, 2026

Agawam North Operating LLC is a healthcare organization based in Agawam, MA. Agawam North Operating LLC practices in Agawam, MA. The NPI Number for Agawam North Operating LLC is 1649175449. The current practice location address for Agawam North Operating LLC is 55 Cooper St, Agawam, MA 01001-2149 and can be reached out via phone at 413-333-8131.

Provider Profile Details

NPI Number
1649175449
Provider Name
Agawam North Operating LLC
Provider Entity Type
Organization
Address
55 Cooper St, Agawam, MA 01001-2149
Phone Number
413-333-8131
Primary Taxonomy
Skilled Nursing Facility · 314000000X
Organization Subpart
No
Authorized Official
Nicholas Destefane · Ceo · 314-543-3800
Other Names
Agawam North Rehab And Nursing (Doing Business As)
Provider Enumeration Date
October 12, 2026
Last Update Date
October 12, 2026
Certification Date
October 12, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Cooper St
Agawam, MA 01001-2149
City
Agawam
Zip
01001-2149
Phone Number
413-333-8131
Agawam, MA 01001Get directions →

Provider Business Mailing Address Details

Address
1869 Craig Park CT
Saint Louis, MO 63146-4122
City
Saint Louis
State
MO
Zip
63146-4122

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 North Operating LLC?

The NPI number of Agawam North Operating LLC is 1649175449. It was assigned on October 12, 2026 and is currently active in the NPPES registry.

What is the specialty of Agawam North Operating LLC?

Agawam North Operating LLC is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X).

Where does Agawam North Operating LLC practice?

The practice location is 55 Cooper St, Agawam, MA 01001-2149. The office can be reached at 413-333-8131 (phone).

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 1649175449 directly on the NPPES registry website.

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