Vantage at Hampden LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

VANTAGE AT HAMPDEN LLC

Practice address

34 Main St
Hampden, MA 01036-9642

Phone

(413) 566-5511

NPI assigned

Jan 5, 2022

Last updated

Jan 5, 2022By 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

Sam Yurowitz

Title

Owner

Phone

(845) 558-2685

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1720749468. Details of each certification follow.

• CCN 225265 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 225265

Legal name

VANTAGE AT HAMPDEN LLC

Doing business as

VANTAGE HEALTH & REHAB OF HAMPDEN

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

May 27, 1980

Last certification

Feb 7, 2025

Beds

100

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Vantagecare

Most recent change of ownership

Feb 1, 2022

Organization structure

LLCProprietary

Enrollment address

34 Main St
Hampden, MA 01036-9642

Nursing home name

VANTAGE AT HAMPDEN LLC

Affiliated entity

VANTAGE CARE

Listed as

Vantage at Hampden LLCCCN 225265 · All quality measures

Overall star rating

3 of 5

Health inspections

4 of 5

Staffing

3 of 5

Quality measures

1 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

May 27, 1980

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

10087.7 residents per day on average

Chain

Vantage Care10 facilities in the chain

Penalties (3 years)

1Fines totaling $16,801

Processed by Care Compare on Aug 1, 2026.

Locations

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Fahim A Kazi, MD

  • Geriatric Medicine (Family Medicine) Physician
  • East Longmeadow, MA
  • NPI 1427022672
  NPD (past)
• Elaine N Lehan-Fitzgerald, M.D.

  • Psychiatry Physician
  • East Longmeadow, MA
  • NPI 1447269899
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Fahim A Kazi, MD

  • Geriatric Medicine (Family Medicine) Physician
  • East Longmeadow, MA
  • NPI 1427022672

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641340800000",
    "number": "1720749468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 MAIN ST",
            "city": "HAMPDEN",
            "state": "MA",
            "postal_code": "010369642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 MAIN ST",
            "city": "HAMPDEN",
            "state": "MA",
            "postal_code": "010369642",
            "telephone_number": "413-566-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANTAGE AT HAMPDEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-05",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A",
        "authorized_official_last_name": "YUROWITZ",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-558-2685"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SRC Hampden, Inc. (Wingate at Hampden Rehab. & Skilled Nsg. Residence)
• Surgical Associates of Springfield Inc
• Daniella L. Thomas, LMHC
• Town of Hampden
• Town of Hampden- Fire Department
• Vero Health XI, LLC (Vero Health & Rehab of Hampden)
• Herbert B Wood, LCSW
• Michael Terry Young, MSTCM

• Skilled Nursing Facility in Hampden, MA
• Providers in Hampden, 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 Jan 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.