Country Estates Nursing, L.L.C.
Organization Active NPI Skilled Nursing Facility · Agawam, MA
NPI 1437266558 · NPPES record last updated Jan 17, 2018
Key facts
- NPI
- 1437266558
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 0967 (MA)
- Legal business name
- COUNTRY ESTATES NURSING, L.L.C.
- Practice address
- 1200 Suffield St
Agawam, MA 01001-2933 - Phone
- (413) 789-2200
- Fax
- (413) 789-2269
- NPI assigned
- Aug 24, 2006
- Organization subpart
- No
Authorized official
- Name
- Ms. Marilyn Weaver
- Title
- Assistant Secretary
- Phone
- (502) 596-7563
National Provider Directory
Locations
1200 Suffield St
Agawam, MA 01001
Phone (413) 301-9300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 0967 | MA | Yes |
Addresses
Primary practice location
1200 Suffield St
Agawam, MA 01001-2933
Mailing address
680 S 4TH St # KH-2
Louisville, KY 40202-2407
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 982257 | Other | MA | MULTIPLAN |
| 1190138 | Other | MA | UNITED HEALTH CARE |
| 000000024954 | Other | MA | BMC HEALTH NET |
| 71-01051 | Other | MA | CIGNA |
| 0029577 | Other | MA | MARTINS POINT |
| 225642 | Other | MA | CCS |
| 0927929 | Medicaid | MA | |
| 2222564201 | Other | MA | BLUE CROSS BLUE SHIELD |
Other providers in Agawam, MA
- Convenientmd - FFS UC LLC
- Victoria Coons
- Angela Copple
- Cornerstone Kids Dentistry
- Matthew Costanza
- Joanne E Craig-Nelson
- Karen A Croteau
- Suzanne Louise Cunningham
- CVS Pharmacy Inc
- CVS Pharmacy Inc
All providers in Agawam, MA · Skilled Nursing Facility in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.