Organization Active NPI

CFM Buckley-South LLC

  • Skilled Nursing Facility
  • Holyoke, MA
National Provider Identifier
1558315523
Registry record updated Jan 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0811 Issued in MA
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 INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 30, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0928046MedicaidMA

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.