Provider Demographics
NPI:1710194790
Name:NORTHAMPTON REHABILITATION AND NURSING CENTER
Entity type:Organization
Organization Name:NORTHAMPTON REHABILITATION AND NURSING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED OCCUPATIONAL THERAY ASSIS
Authorized Official - Prefix:MS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:GERMAIN
Authorized Official - Suffix:
Authorized Official - Credentials:COTAL
Authorized Official - Phone:413-586-3300
Mailing Address - Street 1:41 CREST RD
Mailing Address - Street 2:
Mailing Address - City:MONSON
Mailing Address - State:MA
Mailing Address - Zip Code:01057-9537
Mailing Address - Country:US
Mailing Address - Phone:413-267-4964
Mailing Address - Fax:
Practice Address - Street 1:737 BRIDGE RD
Practice Address - Street 2:
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-1526
Practice Address - Country:US
Practice Address - Phone:413-586-3300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1483314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA225381Medicare ID - Type Unspecified
MA225-381Medicare Oscar/Certification