NPI 1508048323 · live from the CMS NPI Registry
55 Cooper Street Operations LLC
Skilled Nursing Facility in Agawam, MA. National Provider Identifier 1508048323, active.
NPI record
| NPI | 1508048323 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 55 Cooper St, Agawam, MA 01001 |
| Practice phone | 413-786-8000 |
| Mailing address | 101 E State St, Kennett Square, PA 19348 |
| Enumerated | December 4, 2007 |
| Last updated | October 6, 2025 |
| Authorized official | Michael Berg, Secretary |
| Other names | Heritage Hall North |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | 0731 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.