Genesis Health Ventures of Massachusetts, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0055 Issued in MA

Legal business name

GENESIS HEALTH VENTURES OF MASSACHUSETTS, INC.

Doing business as

Heritage Hall South

Practice address

65 Cooper St
Agawam, MA 01001-2149

Phone

(413) 786-8000

Fax

(413) 786-9788

NPI assigned

Jun 12, 2006

Organization subpart

No

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

Authorized official

Name

Jane Dropeskey

Title

Corporate Manager

Phone

(610) 925-4231

Specialties & licenses 1

Addresses

Other identifiers 9

Other names 1

• Heritage Hall South Doing business as

Locations

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1881636892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E STATE ST",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193483109",
            "telephone_number": "610-925-4436",
            "fax_number": "610-925-4351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 COOPER ST",
            "city": "AGAWAM",
            "state": "MA",
            "postal_code": "010012149",
            "telephone_number": "413-786-8000",
            "fax_number": "413-786-9788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS HEALTH VENTURES OF MASSACHUSETTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "DROPESKEY",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "CORPORATE MANAGER",
        "authorized_official_telephone_number": "610-925-4231"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "0055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOSTON MEDICAL CENTER",
            "identifier": "000000021319",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0940224",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED - EVERCARE",
            "identifier": "71-01265",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA(HEALTHSOURCE OF MA)",
            "identifier": "7964490",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS - VENT",
            "identifier": "2222517602",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS - OUTPATIENT REHAB",
            "identifier": "2222517610",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA-HMO",
            "identifier": "2462059",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "0015749",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "2222517601",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Hall South",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Genesis Health Ventures of Massachusetts LLC (Heritage Woods)
• Genesis Health Ventures of Massachusetts, Inc (Heritage Hall West)
• Genesis Health Ventures of Massachusetts, Inc (Heritage Hall North)
• Genesis Health Ventures of Massachusetts, Inc. (Heritage Hall East)
• Genesis Health Ventures of Massachusetts, Inc. (Heritage Woods)
• Genesis Rehab Services PC
• Geriatric Primary Care PC
• Debra Lee Germain, COTA
• Michael John Gillis, PA-C
• Stephanie Girard

• 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 Jun 21, 2018; 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.