Baystate Noble Hospital Corporation
Organization Active NPI Rehabilitation Hospital Unit · Westfield, MA
NPI 1245272012 · NPPES record last updated May 11, 2022
Key facts
- NPI
- 1245272012
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rehabilitation Hospital Unit 273Y00000X
- License
- 2076 (MA)
- Legal business name
- BAYSTATE NOBLE HOSPITAL CORPORATION
- Practice address
- 115 W Silver St
Westfield, MA 01085-3628 - Phone
- (413) 568-2811
- Fax
- (413) 562-5855
- NPI assigned
- Jun 13, 2006
- Organization subpart
- No
Authorized official
- Name
- David Witherell
- Title
- Senior Director, Payment Systems
- Phone
- (413) 794-7930
Owners & managing parties with NPI records 4
-
Nicolas Jabbour, MD
-
Akinyele Kamau Lovelace, D.O.
-
Sara A Rourke, M.D.
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 1
Member organizations 2
Related certifications (CCN) 1
Facilities with the same owner 7
Practitioners 1
Affiliated clinicians 6
-
Komal Girdhari, MD
-
Gabriela Goloman, MD
-
Carla F Jacobs, DO
Medicare Care Compare: Inpatient rehabilitation facility
- Listed as
- Noble Hospital
- Ownership
- Non-profit
- Certified
- Oct 1, 1990
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Hospital certification: CCN 22T065
- Legal name
- BAYSTATE NOBLE HOSPITAL CORPORATION
- Doing business as
- BAYSTATE NOBLE HOSPITAL
- Organization structure
- Corporation · Non-profit
- Enrollment address
- 115 W Silver St
Westfield, MA 10853678 - Hospital subgroups
- Rehabilitation unit
All disclosed owners & managing parties 26
| Name | Role | Since | Share |
|---|---|---|---|
| Mark a O'Connell |
Corporate Director | Jan 1, 2023 | |
| Nicolas Jabbour |
Corporate Director | Jan 1, 2024 | |
| Julie Quink |
Corporate Director | Jan 1, 2024 | |
| Ruth H Constantine |
Corporate Director | Feb 8, 2022 | |
| Sara a Rourke |
Corporate Director | Jan 1, 2022 | |
| Paul Gosselin |
Corporate Director | Jun 19, 2026 | |
| Nancy Remillard |
Corporate Officer |
Nov 13, 2018 | |
| Peter Banko |
Corporate Officer |
Jun 3, 2024 | |
| Corporate Director |
Jun 3, 2024 | ||
| Linda Thompson |
Corporate Director | Jan 1, 2023 | |
| Claudia R Coplein |
Corporate Director | Jan 1, 2017 | |
| Denise R. Jordan |
Corporate Director | Jan 1, 2020 | |
| Baystate Health, Inc |
5% Or Greater Direct Ownership Interest | Jul 1, 2015 | 100% |
| Madeline Landrau |
Corporate Director | Jan 1, 2024 | |
| Akinyele K Lovelace |
Corporate Officer |
Jul 3, 2025 | |
| Corporate Director | Jan 1, 2020 | ||
| Paul C. Picknelly |
Corporate Director | Jan 1, 2020 | |
| Harriet a Deverry |
Corporate Officer | Jan 1, 2023 | |
| Corporate Director | Jul 1, 2015 | ||
| Colleen W Holmes |
Corporate Officer |
Jan 1, 2023 | |
| Corporate Director | Jan 1, 2017 | ||
| Richard D Bossie |
Corporate Director | Jan 1, 2022 | |
| Antonio E Dos-Santos |
Corporate Director | Jan 1, 2023 | |
| Baystate Administrative Services, Inc. |
Operational/Managerial Control | Jul 1, 2015 | |
| Vittal R Setru |
Corporate Director | Jul 3, 2025 | |
| Maria P Goncalves |
Corporate Director | Jan 1, 2018 | |
| Irene Rodriguez-Martin |
Corporate Director | Jan 1, 2018 | |
| Brandon E Okezie |
Corporate Officer | Jul 3, 2025 | |
| W-2 Managing Employee | Jul 3, 2025 | ||
| William R Webber |
Corporate Director | Jan 1, 2017 | |
| Laurie Martin |
Corporate Officer |
Jul 31, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100820001056 | MA | Part a Provider - Hospital | 2264405638 | Practice locations: Westfield, MA |
National Provider Directory
- Tax ID family
- Noble Hosptial-Pulmonar
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Hospital Unit | 273Y00000X | 2076 | MA | Yes |
Addresses
Primary practice location
115 W Silver St
Westfield, MA 01085-3628
Mailing address
115 W Silver St
Westfield, MA 01085-3628
Phone (413) 568-2811
Other names
- Baystate Noble Hospital Bronson Rehabilitation Unit
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Cobius Healthcare Solutions |
Other providers in Westfield, MA
- Bashir Bashiruddin
- Sarah Bashiruddin
- Daniela Bataille
- Lisette Mae Batrano
- Jennifer Baymon
- Baystate Noble Hospital Corporation
- Baystate Noble Hospital Corporation
- Isabella Conception Bazaldua
- Kilie Bazinet
- Nancy L Beaman
All providers in Westfield, MA · Rehabilitation Hospital Unit in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.