Active NPI
The Northeast Health Group, Inc
Doing business as Willimansett Center West
- Skilled Nursing Facility
- Chicopee, MA
National Provider Identifier
1679577175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0835
- Legal business name
- THE NORTHEAST HEALTH GROUP, INC
- Doing business as
- Willimansett Center West
- Practice address
- 546 Chicopee St
Chicopee, MA 01013-2148 - Phone
- (413) 536-2540
- Fax
- (413) 532-6445
- NPI assigned
- Jun 13, 2005
- Last updated
- Oct 5, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Howard Jaffe
- Title
- President
- Phone
- (215) 346-6454
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 0835 | MA | Primary |
Addresses
Primary practice location
546 Chicopee St
Chicopee, MA 01013-2148
Mailing address
1675 Palm Beach Lakes Blvd
Suite 900
West Palm Beach, FL 33401
Phone (561) 801-7600
Other names 1
- Willimansett Center West
National Provider Directory
National Provider DirectoryLocations
546 Chicopee St
Chicopee, MA 01013
Phone (413) 536-2540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1349395200000",
"number": "1679577175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1675 PALM BEACH LAKES BLVD",
"address_2": "SUITE 900",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "33401",
"telephone_number": "561-801-7600",
"fax_number": "414-268-4811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "546 CHICOPEE ST",
"city": "CHICOPEE",
"state": "MA",
"postal_code": "010132148",
"telephone_number": "413-536-2540",
"fax_number": "413-532-6445"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE NORTHEAST HEALTH GROUP, INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-13",
"last_updated": "2012-10-05",
"status": "A",
"authorized_official_last_name": "JAFFE",
"authorized_official_first_name": "HOWARD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "215-346-6454"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MA",
"license": "0835",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Willimansett Center West",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Chicopee, MA
- Stacey Ann Temple, C.N.M.
- Abbey Lucey Tenczar
- Monica N Tews
- The Commonwealth of Massachusetts
- The Loose Tooth
- The Northeast Health Group, Inc (Willimansett Center East)
- The Stop & Shop Supermarket Company LLC (Stop and Shop Pharmacy #36)
- Kristen Thiel, LMT
- Alison L Thirkield, PH.D.
- Daniel Fred Thomas, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.