Chestnut Hill Rehabilitation and Nursing Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0879 Issued in MA

Legal business name

CHESTNUT HILL REHABILITATION AND NURSING CENTER

Practice address

32 Chestnut St
East Longmeadow, MA 01028-2803

Phone

(413) 525-1893

Fax

(413) 525-8261

NPI assigned

Oct 25, 2005

Organization subpart

No

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

Authorized official

Name

Debra Decoteau

Title

Accounts Receivable Regional MGR

Phone

(413) 335-3318

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Radius 91 Operating Chestnut Hill Other name

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972593523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 CHESTNUT ST",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010282803",
            "telephone_number": "413-525-1893",
            "fax_number": "413-525-8261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 CHESTNUT ST",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010282803",
            "telephone_number": "413-525-1893",
            "fax_number": "413-525-8261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESTNUT HILL REHABILITATION AND NURSING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DECOTEAU",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "ACCOUNTS RECEIVABLE REGIONAL MGR",
        "authorized_official_telephone_number": "413-335-3318"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "0879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0929174",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Radius 91 Operating Chestnut Hill",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Patrice Monique Caudle, PHARM D
• Center for Speech & Language Services, LLC
• Chabilal Neergheen MD
• Chelsea MRI, PC
• Chestnut Hill Health and Rehabilitation Center LLC
• Paula Moynahan Chevalier, LICSW
• Yong Cho II
• Priscilla Youngyi Choi, RN
• Tomasz A Chrzan, DMD
• Susan Bankoski Chunyk, AU.D., CCC-A

• Skilled Nursing Facility in East Longmeadow, MA
• Providers in East Longmeadow, 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 Aug 22, 2020; 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.