Mt Greylock Nursing LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0893 Issued in MA

Legal business name

MT GREYLOCK NURSING LLC

Practice address

1000 North St
Pittsfield, MA 01201-1520

Phone

(413) 499-7186

Fax

(413) 499-3086

NPI assigned

Apr 10, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Amale Neary

Title

Associate Vice President of Finance

Phone

(413) 447-2416

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mount Greylock Extended Care Facility Doing business as

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1417170408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 NORTH ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012011520",
            "telephone_number": "413-499-7186",
            "fax_number": "413-499-3086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 NORTH ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012011520",
            "telephone_number": "413-499-7186",
            "fax_number": "413-499-3086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT GREYLOCK NURSING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "NEARY",
        "authorized_official_first_name": "AMALE",
        "authorized_official_title_or_position": "ASSOCIATE VICE PRESIDENT OF FINANCE",
        "authorized_official_telephone_number": "413-447-2416",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "0893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0928968",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mount Greylock Extended Care Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robin Mountz, RN
• Iman Mousselli, MD
• Christopher Mowe
• Candace Mozzi
• Mark D Mozzi, PA-C
• James M Mucia, LICSW
• Rabar Mudhher, MD
• Divya Mudumba
• Mary Mullen
• A,Y Mulvey

• Skilled Nursing Facility in Pittsfield, MA
• Providers in Pittsfield, 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 Jun 24, 2008; 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.