Wingate At East Longmeadow Rehab. & Skilled Nsg. Residence

LBN: Src East Longmeadow, Inc.
Wingate At East Longmeadow Rehab. & Skilled Nsg. Residence is an health care organization with primary practice located at 32 Chestnut St , East Longmeadow MA 01028-2803. 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. Src East Longmeadow, Inc. can be contacted via phone (413) 525-1893, or through Levin, Tamilyn M. via phone (781) 707-9510.

Contact Information

Primary practice address
32 Chestnut St East Longmeadow MA 01028-2803
Fax: (413) 525-8261
Website:
Authorized official contact:
Name: Levin, Tamilyn M. ESQ.

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 0879 Massachusetts

Profile Details

NPI number 1750331286
LBN Legal business name Src East Longmeadow, Inc.
DBA Doing business as Wingate At East Longmeadow Rehab. & Skilled Nsg. Residence
Authorized official Levin, Tamilyn M. ESQ.
Entity Organization
Organization subpart 1 No
Enumeration date May 12th, 2006
Last updated Oct 5th, 2012 - about 12 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 1750331286 NPPES
Massachusetts MEDICAID 110026462B

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