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Contact Information

548 ELM STREET OPERATING COMPANY, LLC
548 ELM STREET
NORTHAMPTON, MA01060
 Phone: 413-586-3150
 Fax: 413-584-7720
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for 548 ELM STREET OPERATING COMPANY, LLC

NPI # 1669471389
LBN Legal business name 548 ELM STREET OPERATING COMPANY, LLC
Authorized official EMILY VAZQUEZ - (VP, SPECIAL PROJECTS)
Entity Organization
Organization subpart 1 No
Enumeration date 07/14/2005
Last updated 12/15/2023 - About 2 years ago
Identifiers
MA License # 0818
MA Medicaid 0926779
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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