Wingate At Springfield Rehab. & Skilled Nsg. Residence

LBN: Src Springfield, Inc.
Wingate At Springfield Rehab. & Skilled Nsg. Residence is an health care organization with primary practice located at 215 Bicentennial Hwy , Springfield MA 01118-1962. 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 Springfield, Inc. can be contacted via phone (413) 796-7511, or through Levin, Tamilyn M. via phone (781) 707-9510.

Contact Information

Primary practice address
215 Bicentennial Hwy Springfield MA 01118-1962
Phone: (413) 796-7511
Fax: (413) 783-4020
Website:
Map and Directions
Authorized official contact:
Name: Levin, Tamilyn M. ESQ.
Phone: (781) 707-9510

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 0899 Massachusetts

Profile Details

NPI number 1265483796
LBN Legal business name Src Springfield, Inc.
DBA Doing business as Wingate At Springfield 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1265483796 NPPES
Massachusetts MEDICAID 110026479A

Popular Providers