Active NPI
CFM Buckley-South LLC
- Skilled Nursing Facility
- Holyoke, MA
National Provider Identifier
1558315523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0811
- Legal business name
- CFM BUCKLEY-SOUTH LLC
- Practice address
- 282 Cabot St
Holyoke, MA 01040-3141 - Phone
- (413) 538-7470
- NPI assigned
- May 22, 2006
- Organization subpart
- Yes
- Parent organization
- ELDERTRUST OF FLORIDA INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William T Richmond
- Title
- President
- Phone
- (615) 459-6094
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 0811 | MA | Primary |
Addresses
Primary practice location
282 Cabot St
Holyoke, MA 01040-3141
Mailing address
282 Cabot St
Holyoke, MA 01040-3141
Phone (413) 538-7470
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0928046 | Medicaid | MA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1201651200000",
"number": "1558315523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "282 CABOT ST",
"city": "HOLYOKE",
"state": "MA",
"postal_code": "010403141",
"telephone_number": "413-538-7470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "282 CABOT ST",
"city": "HOLYOKE",
"state": "MA",
"postal_code": "010403141",
"telephone_number": "413-538-7470"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CFM BUCKLEY-SOUTH LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ELDERTRUST OF FLORIDA INC",
"enumeration_date": "2006-05-22",
"last_updated": "2008-01-30",
"status": "A",
"authorized_official_last_name": "RICHMOND",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "615-459-6094"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MA",
"license": "0811",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0928046",
"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 Jan 30, 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.