Agawam East Operating LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

AGAWAM EAST OPERATING LLC

Doing business as

Agawam East Rehab and Nursing

Practice address

464 Main St
Agawam, MA 01001-1826

Phone

(413) 333-2200

NPI assigned

Oct 12, 2026

Last updated

Oct 12, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nicholas Destefane

Title

Ceo

Phone

(314) 543-3800

Specialties & licenses 1

Addresses

Other names 1

• Agawam East Rehab and Nursing Doing business as

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

{
    "created_epoch": "1791763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791763200000",
    "number": "1588569370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1869 CRAIG PARK CT",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631464122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 MAIN ST",
            "city": "AGAWAM",
            "state": "MA",
            "postal_code": "010011826",
            "telephone_number": "413-333-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAWAM EAST OPERATING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-12",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-12",
        "status": "A",
        "authorized_official_last_name": "DESTEFANE",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "314-543-3800"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Agawam East Rehab and Nursing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• A Dental Group
• Michael Scott Abrams, M.D.
• Renato Opura Acuna, PT
• Adaptive Prosthetics & Orthotics LLC
• Paulo Afonso, PT
• Agawam East Rehab and Nursing LLC
• Agawam Medical Supply Corp
• Agawam North Operating LLC (Agawam North Rehab and Nursing)
• Agawam North Rehab and Nursing LLC
• Agawam Nursing LLC (Country Estates of Agawam)

• Skilled Nursing Facility in Agawam, MA
• Providers in Agawam, 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 Oct 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.