Organization Active NPI

Sarawood Retirement Home, Inc.

  • Clinic/Center
  • Holyoke, MA
National Provider Identifier
1104812379
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
1905236 Issued in MA
Legal business name
SARAWOOD RETIREMENT HOME, INC.
Practice address
1 Loomis Ave
Holyoke, MA 01040-2011
Phone
(413) 532-7879
Fax
(413) 535-2015
NPI assigned
Sep 23, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. William G. Lyons
Title
Administrator
Phone
(413) 532-7879

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 1905236 MA Primary

Addresses

Primary practice location

1 Loomis Ave
Holyoke, MA 01040-2011

Mailing address

1 Loomis Ave
Holyoke, MA 01040-2011
Phone (413) 532-7879

Other identifiers 1

IdentifierTypeStateIssuer
1905236MedicaidMA

National Provider Directory

National Provider Directory

Locations

1 Loomis Ave
Holyoke, MA 01040
Phone (413) 532-7879

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104812379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LOOMIS AVE",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010402011",
            "telephone_number": "413-532-7879",
            "fax_number": "413-535-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LOOMIS AVE",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010402011",
            "telephone_number": "413-532-7879",
            "fax_number": "413-535-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARAWOOD RETIREMENT HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LYONS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "413-532-7879",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MA",
            "license": "1905236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1905236",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holyoke, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.