Active NPIOrganization

Agawam Nursing LLC

Skilled Nursing Facility in Agawam, Massachusetts

NPI Number1992784037
Practice location
1200 Suffield St, Agawam, MA 01001-2933
Fax
—
Last updated
August 22, 2020

Agawam Nursing LLC is a healthcare organization based in Agawam, MA. Agawam Nursing LLC practices in Agawam, MA. The NPI Number for Agawam Nursing LLC is 1992784037 and holds a License No. 0967 (MA). The current practice location address for Agawam Nursing LLC is 1200 Suffield St, Agawam, MA 01001-2933 and can be reached out via phone at 413-789-2200.

Provider Profile Details

NPI Number
1992784037
Provider Name
Agawam Nursing LLC
Provider Entity Type
Organization
Address
1200 Suffield St, Agawam, MA 01001-2933
Phone Number
413-789-2200
Primary Taxonomy
Skilled Nursing Facility · 314000000X
Organization Subpart
No
Authorized Official
Mr. Brad Rolph · Cfo · 781-297-8626
Other Names
Country Estates Of Agawam (Doing Business As)
Provider Enumeration Date
January 16, 2006
Last Update Date
August 22, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
1200 Suffield St
Agawam, MA 01001-2933
City
Agawam
Zip
01001-2933
Phone Number
413-789-2200
Agawam, MA 01001Get directions →

Provider Business Mailing Address Details

Address
50 Kerry Pl
Norwood, MA 02062-4775
City
Norwood
State
MA
Zip
02062-4775
Phone Number
781-619-0250

License Information

License Number
0967
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 Agawam Nursing LLC?

The NPI number of Agawam Nursing LLC is 1992784037. It was assigned on January 16, 2006 and is currently active in the NPPES registry.

What is the specialty of Agawam Nursing LLC?

Agawam Nursing LLC is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X), licensed in MA under license number 0967.

Where does Agawam Nursing LLC practice?

The practice location is 1200 Suffield St, Agawam, MA 01001-2933. The office can be reached at 413-789-2200 (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 1992784037 directly on the NPPES registry website.

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