279 CABOT STREET OPERATIONS LLC (NPI# 1093184715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093184715 |
| Entity Type | Organization |
| Organization Name | 279 CABOT STREET OPERATIONS LLC |
| Other Organization Name | RENAISSANCE MANOR ON CABOT |
| Practice Address |
279 Cabot St Holyoke MA 01040-3139 |
| Practice Telephone | 4135363435 |
| Practice Fax Number | 4135363436 |
| Mailing Telephone | 4135363435 |
| Mailing Fax Number | 4135363436 |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2015-09-23 |
| Authorized Official Name | MICHAEL T BERG (ASSISTANT SECRETARY) |
| Authorized Official Telephone | 5054684742 |
| Is Organization Subpart | Y |
| Parent Organization Name | SUMMIT CARE LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | MA | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Renaissance Manor on Cabot | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | 279 CABOT STREET OPERATIONS LLC | 101 East State Street, Kennett Square, PA 19348 |
| Street Address |
279 CABOT ST |
| City | HOLYOKE |
| State | MA |
| Zip Code | 01040-3139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861866162 | Matthew A Radon | Physical Therapy Assistant | 279 Cabot St, Holyoke, MA 01040-3139 | 2015-11-24 |
| 1912371337 | Mary Boudreau | Occupational Therapy Assistant | 279 Cabot St, Holyoke, MA 01040-3139 | 2015-11-23 |
| 1053785428 | Heather Peggy Guzman | Physical Therapy Assistant | 279 Cabot St, Holyoke, MA 01040-3139 | 2015-11-22 |
| 1841664448 | Noah Bloom | Speech-Language Pathologist | 279 Cabot St, Holyoke, MA 01040-3139 | 2015-11-19 |
| 1871967539 | Valerie R Jackson | Occupational Therapist | 279 Cabot St, Holyoke, MA 01040-3139 | 2015-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255945325 | Holyoke Care Center, LLC | Skilled Nursing Facility | Holyoke Care Center, LLC, 35 Holy Family Road, Holyoke, MA 01040 | 2020-09-04 |
| 1225646904 | Jasmine Glover | Counselor | 476 Appleton St. Suite 5, Holyoke, MA 01040 | 2020-07-17 |
| 1932662319 | Damaris Santingo Martinez | Registered Nurse | 46 Magnolia Ave, Holyoke, MA 01040 | 2019-04-11 |
| 1104302371 | Cheryl Ann Lauben | Counselor | 476 Appleton Street, Suite 2, Holyoke, MA 01040 | 2018-07-11 |
| 1740704741 | Miranda Lynn Fogg | Behavior Technician | 244 Westfield Rd, Holyoke, MA 01040 | 2017-08-01 |
| 1770020018 | Total Wellness Centers, LLC | Clinical Medical Laboratory | 59 Bobala Rd, Holyoke, MA 01040 | 2017-01-25 |
| 1184097768 | Chi Wan Wong | Physical Therapy Assistant | 110 Cherry Street, Holyoke, MA 01040 | 2015-11-04 |
| 1841666724 | Danielle Moroney | Counselor | River Valley Counseling Center Mental Health Service, 303 Beech St, Holyoke, MA 01040 | 2015-08-14 |
| 1285019638 | Ashley Papineau | Social Worker | 9 Faille Ave, Apt 3, Holyoke, MA 01040 | 2015-07-28 |
| 1205216967 | Vanessa Vazquez | Counselor | 1233 Main St., Holyoke, MA 01040 | 2015-06-08 |
| Find all providers in zip 01040 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255945325 | Holyoke Care Center, LLC | Skilled Nursing Facility | Holyoke Care Center, LLC, 35 Holy Family Road, Holyoke, MA 01040 | 2020-09-04 |
| 1578898755 | Mary's Meadow At Providence Place,inc. | Skilled Nursing Facility | 5 Gamelin St, Holyoke, MA 01040-4072 | 2009-10-06 |
| 1558315523 | Cfm Buckley-south LLC | Skilled Nursing Facility | 282 Cabot St, Holyoke, MA 01040-3141 | 2006-05-22 |
| 1396727301 | Geriatric Authority of Holyoke | Skilled Nursing Facility | 45 Lower Westfield Rd, Holyoke, MA 01040-2747 | 2005-11-16 |
| 1669454955 | Loomis House, Inc | Skilled Nursing Facility | 298 Jarvis Ave, Holyoke, MA 01040-1288 | 2005-11-14 |
| 1215918636 | Sisters of Providence Care Centers, Inc | Skilled Nursing Facility | 35 Holy Family Rd, Holyoke, MA 01040-2701 | 2005-11-11 |
| 1114918562 | Cpl (cabot) LLC | Skilled Nursing Facility | 279 Cabot Street, Holyoke, MA 01040-3139 | 2005-11-03 |
| 1760473201 | Mont Marie Health Care Center Inc | Skilled Nursing Facility | 36 Lower Westfield Rd, Holyoke, MA 01040-2749 | 2005-11-03 |
| 1881682219 | Holyoke Health & Rehab, Inc | Skilled Nursing Facility | 816 S Interocean Ave, Holyoke, CO 80734-2120 | 2005-10-10 |
| 1982603767 | 260 Easthampton Road Operating Company, LLC | Skilled Nursing Facility | 260 Easthampton Road, Holyoke, MA 01040 | 2005-07-14 |
| Find all providers in HOLYOKE | ||||
Please comment or provide details below to improve the information on 279 CABOT STREET OPERATIONS LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.