Vantage at Westfield LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

VANTAGE AT WESTFIELD LLC

Practice address

60 E Silver St
Westfield, MA 01085-4434

Phone

(413) 562-5121

NPI assigned

Nov 21, 2023

Last updated

Nov 21, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sam Yurowitz

Title

Owner

Phone

(845) 558-2685

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1366217168. Details of each certification follow.

• CCN 225380A Skilled nursing facility · Details

Skilled nursing facility certification: CCN 225380A

Legal name

VANTAGE AT WESTFIELD LLC

Doing business as

VANTAGE HEALTH & REHAB OF WESTFIELD

Organization structure

LLCProprietary

Enrollment address

60 E Silver St
Westfield, MA 01085-4434

Nursing home name

VANTAGE AT WESTFIELD LLC

Affiliated entity

VANTAGE CARE

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Adnan M Dahdul, MD

  • Internal Medicine Physician
  • Springfield, MA
  • NPI 1104802362

  Corporate Director

  CMS ownership

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Vantage at Wakefield LLC

  • Skilled Nursing Facility
  • Wakefield, MA
  • NPI 1477328276

  JPW Mass Holdings LLC, Vantage Care Ma4 LLC

  CMS ownership

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Aqib Chaudhry, MD

  • Family Medicine Physician
  • North Attleboro, MA
  • NPI 1144758301
  NPD (past)
• Ann Maria Labar Elder, MD

  • Physical Medicine & Rehabilitation Physician
  • Ludlow, MA
  • NPI 1720064983
  NPD (past)

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

{
    "created_epoch": "1700524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700524800000",
    "number": "1366217168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 E SILVER ST",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010854434",
            "telephone_number": "413-562-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 E SILVER ST",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010854434",
            "telephone_number": "413-562-5121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANTAGE AT WESTFIELD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-21",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A",
        "authorized_official_last_name": "YUROWITZ",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-558-2685"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maxime Valbrune, MSW
• Sonia Maria Valentine, NP
• Hannah Van Petten, BCBA
• Victoria M Vanalstine-Tauer
• Vanessa L Vanstee, M.D.
• Marina Vaughn, OTR/L
• Juana M. Vazquez
• Cheila Adaliz Vega
• Jennifer Vega
• Marco Velarde

• Skilled Nursing Facility in Westfield, MA
• Providers in Westfield, MA by specialty
• Skilled Nursing Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.