Active NPIOrganization

Src East Longmeadow, INC.

Skilled Nursing Facility in East Longmeadow, Massachusetts

NPI Number1750331286
Practice location
32 Chestnut St, East Longmeadow, MA 01028-2803
Fax
413-525-8261
Last updated
October 5, 2012

Src East Longmeadow, INC. is a healthcare organization based in East Longmeadow, MA. Src East Longmeadow, INC. practices in East Longmeadow, MA. The NPI Number for Src East Longmeadow, INC. is 1750331286 and holds a License No. 0879 (MA). The current practice location address for Src East Longmeadow, INC. is 32 Chestnut St, East Longmeadow, MA 01028-2803 and can be reached out via phone at 413-525-1893 and via fax at 413-525-8261.

Provider Profile Details

NPI Number
1750331286
Provider Name
Src East Longmeadow, INC.
Provider Entity Type
Organization
Address
32 Chestnut St, East Longmeadow, MA 01028-2803
Phone Number
413-525-1893
Fax Number
413-525-8261
Primary Taxonomy
Skilled Nursing Facility · 314000000X
Organization Subpart
No
Authorized Official
Ms. Tamilyn M. Levin, ESQ · Cfo · 781-707-9510
Other Names
Wingate At East Longmeadow 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
32 Chestnut St
East Longmeadow, MA 01028-2803
Zip
01028-2803
Phone Number
413-525-1893
Fax Number
413-525-8261
East Longmeadow, MA 01028Get 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
0879
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 East Longmeadow, INC.?

The NPI number of Src East Longmeadow, INC. is 1750331286. It was assigned on May 12, 2006 and is currently active in the NPPES registry.

What is the specialty of Src East Longmeadow, INC.?

Src East Longmeadow, INC. is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X), licensed in MA under license number 0879.

Where does Src East Longmeadow, INC. practice?

The practice location is 32 Chestnut St, East Longmeadow, MA 01028-2803. The office can be reached at 413-525-1893 (phone) or 413-525-8261 (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 1750331286 directly on the NPPES registry website.

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