Wingate At West Springfield Rehab. & Skilled Nsg. Residence
LBN: Src West Springfield, Inc.
Wingate At West Springfield Rehab. & Skilled Nsg. Residence is an health care organization with primary practice located at 42 Prospect Ave , West Springfield MA 01089-4510. 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 West Springfield, Inc. can be contacted via phone (413) 733-3151, or through Levin, Tamilyn M. via phone (781) 707-9510.
Contact Information
Primary practice address
42 Prospect Ave
West Springfield MA 01089-4510
Phone: (413) 733-3151
Fax: (413) 731-9984
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 0068 | Massachusetts |
Profile Details
| NPI number | 1336190867 |
|---|---|
| LBN Legal business name | Src West Springfield, Inc. |
| DBA Doing business as | Wingate At West 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336190867 | NPPES |
| Massachusetts | MEDICAID | 110026486B | |
| Massachusetts | MEDICAID | 0927481 |
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