Country Estates Of Agawam

LBN: Agawam Nursing Llc
Country Estates Of Agawam is an health care organization with primary practice located at 1200 Suffield St , Agawam MA 01001-2933. 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. Agawam Nursing Llc can be contacted via phone (413) 789-2200, or through Rolph, Brad via phone (781) 297-8626.

Contact Information

Primary practice address
1200 Suffield St Agawam MA 01001-2933
Phone: (413) 789-2200
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Rolph, Brad
Phone: (781) 297-8626

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 0967 Massachusetts

Profile Details

NPI number 1992784037
LBN Legal business name Agawam Nursing Llc
DBA Doing business as Country Estates Of Agawam
Authorized official Rolph, Brad
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2006
Last updated Aug 22nd, 2020 - about 5 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 1992784037 NPPES
Massachusetts MEDICAID 0926744

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