The Northeast Health Group, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0835 Issued in MA

Legal business name

THE NORTHEAST HEALTH GROUP, INC

Practice address

546 Chicopee St
Chicopee, MA 01013-2148

Phone

(413) 536-2540

Fax

(413) 532-6445

NPI assigned

Jun 13, 2005

Organization subpart

No

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

Addresses

Other identifiers 1

Other names 1

• Willimansett Center West Doing business as

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0922471",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willimansett Center West",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stacey Ann Temple, C.N.M.
• Abbey Lucey Tenczar
• Monica N Tews
• The Commonwealth of Massachusetts
• The Loose Tooth
• The Northeast Health Group, Inc
• The Stop & Shop Supermarket Company LLC
• Kristen Thiel, LMT
• Alison L Thirkield, PH.D.
• Daniel Fred Thomas, DDS

• Skilled Nursing Facility in Chicopee, MA
• Providers in Chicopee, 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 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.

Verify at the official NPI Registry.