Organization Active NPI

Geriatric Authority of Holyoke

  • Skilled Nursing Facility
  • Holyoke, MA
National Provider Identifier
1396727301
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0052 Issued in MA
Legal business name
GERIATRIC AUTHORITY OF HOLYOKE
Practice address
45 Lower Westfield Rd
Holyoke, MA 01040-2747
Phone
(413) 536-8110
Fax
(413) 539-6017
NPI assigned
Nov 16, 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. A Edward Roman Jr.
Title
Chief Financial Officer
Phone
(413) 536-8110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0052 MA Primary

Addresses

Primary practice location

45 Lower Westfield Rd
Holyoke, MA 01040-2747

Mailing address

45 Lower Westfield Rd
Holyoke, MA 01040-2747
Phone (413) 536-8110

Other identifiers 3

IdentifierTypeStateIssuer
0904546MedicaidMA
1706624MedicaidMA
1900129MedicaidMA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396727301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 LOWER WESTFIELD RD",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010402747",
            "telephone_number": "413-536-8110",
            "fax_number": "413-539-6017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 LOWER WESTFIELD RD",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010402747",
            "telephone_number": "413-536-8110",
            "fax_number": "413-539-6017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERIATRIC AUTHORITY OF HOLYOKE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROMAN",
        "authorized_official_first_name": "A",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "413-536-8110",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "0052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0904546",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1706624",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1900129",
            "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.