Heritage Hall South

LBN: 65 Cooper Street Operations Llc
Heritage Hall South is an health care organization with primary practice located at 65 Cooper St , Agawam MA 01001-2149. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. 65 Cooper Street Operations Llc can be contacted via phone (413) 786-8000, or through Dropeskey, Jane via phone (610) 925-4231.

Contact Information

Primary practice address
65 Cooper St Agawam MA 01001-2149
Phone: (413) 786-8000
Fax: (413) 306-6401
Website:
Map and Directions
Authorized official contact:
Name: Dropeskey, Jane
Phone: (610) 925-4231

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 0055 Massachusetts

Profile Details

NPI number 1326220146
LBN Legal business name 65 Cooper Street Operations Llc
DBA Doing business as Heritage Hall South
Authorized official Dropeskey, Jane
Entity Organization
Organization subpart 1 No
Enumeration date Dec 4th, 2007
Last updated Jul 19th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326220146 NPPES
Massachusetts MEDICAID 110088861A

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