Active NPI
Springfield Hospital LLC
- Skilled Nursing Facility
- Springfield, MA
National Provider Identifier
1891774949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0943
- Legal business name
- SPRINGFIELD HOSPITAL LLC
- Practice address
- 1400 State St
Springfield, MA 01109-2550 - Phone
- (413) 787-6700
- NPI assigned
- Jan 16, 2006
- 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
- Mr. Brad Rolph
- Title
- Cfo
- Phone
- (781) 297-8626
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 0943 | MA | Primary |
Addresses
Primary practice location
1400 State St
Springfield, MA 01109-2550
Mailing address
50 Kerry PL
Norwood, MA 02062-4775
Phone (781) 297-8660
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0926680 | Medicaid | MA |
Other names 1
- Park View Rehabilitation and Nursing Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Hospital certification: CCN 222015
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- SPRINGFIELD MUN HOSP
- Certification status
- Terminated Voluntary: risk of involuntary termination, Mar 1, 1985
- Provider type (POS)
- Hospital – Long-term
- Participating since
- Jul 1, 1966
- Last certification
- Jan 5, 1983
- Beds
- 438
- Ownership / control type
- Local
- Facility address
- 1400 State St
Springfield, MA 01109
Hospital certification: CCN 222041
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- OLYMPUS SPECIALTY HOSPITAL SPRINGFIELD
- Certification status
- Terminated Voluntary: other reason for withdrawal, Apr 8, 2001
- Provider type (POS)
- Hospital – Long-term
- Participating since
- Apr 11, 1985
- Last certification
- Aug 31, 1993
- Beds
- 215
- Ownership / control type
- Local
- Most recent change of ownership
- Dec 12, 1996 (2 total)
- Facility address
- 1400 State Street
Springfield, MA 01109
National Provider Directory
National Provider Directory- Tax ID family
- Park View Rehabilitation and Nursing Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Chronic Disease Hospital
- Stoughton, MA
- NPI 1275520637
Locations
1400 State St
Springfield, MA 01109
Phone (413) 726-6118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137369600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1891774949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 KERRY PL",
"city": "NORWOOD",
"state": "MA",
"postal_code": "020624775",
"telephone_number": "781-297-8660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 STATE ST",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011092550",
"telephone_number": "413-787-6700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPRINGFIELD HOSPITAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-16",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ROLPH",
"authorized_official_first_name": "BRAD",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "781-297-8626",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MA",
"license": "0943",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0926680",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Park View Rehabilitation and Nursing Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Springfield, MA
- Springfield Family Chiropractic LLC.
- Springfield Family Dental
- Springfield Family Dental PC
- Springfield Family Pharmacy, Inc
- Springfield Family Practice, Inc
- Springfield International Health Center
- Springfield International Health Center, PC
- Springfield Kids Dentist, LLC
- Springfield Medical Associates, Inc
- Springfield Medical LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.