NPI 1992784037 · live from the CMS NPI Registry
Agawam Nursing LLC
Skilled Nursing Facility in Agawam, MA. National Provider Identifier 1992784037, active.
NPI record
| NPI | 1992784037 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 1200 Suffield St, Agawam, MA 01001 |
| Practice phone | 413-789-2200 |
| Mailing address | 50 Kerry Pl, Norwood, MA 02062 |
| Enumerated | January 16, 2006 |
| Last updated | August 22, 2020 |
| Authorized official | Brad Rolph, Cfo |
| Other names | Country Estates Of Agawam |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | 0967 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.