Active NPI
Genesis Health Ventures of Massachusetts, Inc
Doing business as Heritage Hall North
- Skilled Nursing Facility
- Agawam, MA
National Provider Identifier
1376580761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0731
- Legal business name
- GENESIS HEALTH VENTURES OF MASSACHUSETTS, INC
- Doing business as
- Heritage Hall North
- Practice address
- 55 Cooper St
Agawam, MA 01001-2149 - Phone
- (413) 786-8000
- Fax
- (413) 789-4735
- NPI assigned
- Jun 2, 2006
- Last updated
- Jun 21, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jane Dropeskey
- Title
- Corporate Manager
- Phone
- (610) 925-4231
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 0731 | MA | Primary |
Addresses
Primary practice location
55 Cooper St
Agawam, MA 01001-2149
Mailing address
101 E State St
Kennett Square, PA 19348-3109
Phone (610) 925-4436
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000021318 | Other | BOSTON MEDICAL CENTER | |
| 2048968 | Other | AETNA-HMO | |
| 2222576601 | Other | MA | BC/BS |
| 0940216 | Medicaid | MA | |
| 921396 | Other | CONNECTICARE | |
| 907703 | Other | HARVARD PILGRAM | |
| 2222576610 | Other | MA | BC/BS - OUTPATIENT REHAB |
| 71-01263 | Other | UNITED EVERCARE | |
| 696496 | Other | TUFTS | |
| 36005 | Other | HEALTH NEW ENGLAND | |
| 6337518 | Other | CIGNA(HEALTHSOURCE OF MA) |
Other names 1
- Heritage Hall North
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529539200000",
"number": "1376580761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 E STATE ST",
"city": "KENNETT SQUARE",
"state": "PA",
"postal_code": "193483109",
"telephone_number": "610-925-4436",
"fax_number": "610-925-4351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 COOPER ST",
"city": "AGAWAM",
"state": "MA",
"postal_code": "010012149",
"telephone_number": "413-786-8000",
"fax_number": "413-789-4735"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENESIS HEALTH VENTURES OF MASSACHUSETTS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-02",
"last_updated": "2018-06-21",
"status": "A",
"authorized_official_last_name": "DROPESKEY",
"authorized_official_first_name": "JANE",
"authorized_official_title_or_position": "CORPORATE MANAGER",
"authorized_official_telephone_number": "610-925-4231"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MA",
"license": "0731",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOSTON MEDICAL CENTER",
"identifier": "000000021318",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA-HMO",
"identifier": "2048968",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "2222576601",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0940216",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "921396",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRAM",
"identifier": "907703",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS - OUTPATIENT REHAB",
"identifier": "2222576610",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED EVERCARE",
"identifier": "71-01263",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "696496",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NEW ENGLAND",
"identifier": "36005",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA(HEALTHSOURCE OF MA)",
"identifier": "6337518",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Heritage Hall North",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Agawam, MA
- Star Gastringer, LPN
- Genesis Eldercare Physician Services LLC
- Genesis Eldercare Rehabilitation Services LLC (Powerback Rehabilitation)
- Genesis Health Ventures of Massachusetts LLC (Heritage Woods)
- Genesis Health Ventures of Massachusetts, Inc (Heritage Hall West)
- Genesis Health Ventures of Massachusetts, Inc. (Heritage Hall East)
- Genesis Health Ventures of Massachusetts, Inc. (Heritage Woods)
- Genesis Health Ventures of Massachusetts, Inc. (Heritage Hall South)
- Genesis Rehab Services PC
- Geriatric Primary Care PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.