COUNTRY ESTATES NURSING, L.L.C. (NPI# 1437266558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437266558 |
| Entity Type | Organization |
| Organization Name | COUNTRY ESTATES NURSING, L.L.C. |
| Practice Address |
1200 Suffield St Agawam MA 01001-2933 |
| Mailing Address |
680 S 4th St # Kh-2 Louisville KY 40202-2407 |
| Practice Telephone | 4137892200 |
| Practice Fax Number | 4137892269 |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2018-01-17 |
| Authorized Official Name | MS. MARILYN WEAVER (ASSISTANT SECRETARY) |
| Authorized Official Telephone | 5025967563 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 0967 | MA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | MULTIPLAN | 982257 | 01 |
| MA | 0927929 | 05 | |
| MA | CCS | 225642 | 01 |
| MA | BMC HEALTH NET | 000000024954 | 01 |
| MA | MARTINS POINT | 0029577 | 01 |
| MA | BLUE CROSS BLUE SHIELD | 2222564201 | 01 |
| MA | UNITED HEALTH CARE | 1190138 | 01 |
| MA | CIGNA | 71-01051 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | COUNTRY ESTATES NURSING, L.L.C. | 680 South Fourth St., Attn: Tax Dept., Louisville, KY 40202 |
| Street Address |
1200 SUFFIELD ST |
| City | AGAWAM |
| State | MA |
| Zip Code | 01001-2933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992784037 | Agawam Nursing LLC | Skilled Nursing Facility | 1200 Suffield St, Agawam, MA 01001-2933 | 2006-01-16 |
| 1659851434 | Laura Jorgensen | Physical Therapist | 1200 Suffield St, Agawam, MA 01001-2933 | 2018-08-21 |
| 1437675527 | 1200 Suffield Street Operator LLC | Skilled Nursing Facility | 1200 Suffield St, Agawam, MA 01001-2933 | 2017-08-21 |
| 1134440209 | Almina Raneses | Physical Therapist | 1200 Suffield St, Agawam, MA 01001-2933 | 2010-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154940393 | Bryan Christopher Forbes | Pharmacist | 287 Springfield Street, Cvs Pharmacy, Agawam, MA 01001 | 2020-04-08 |
| 1497235568 | Nancy Carley | Physical Therapist | 1200 Suffield Street, Agawam, MA 01001 | 2018-08-18 |
| 1568813293 | Cornerstone Kids Dentistry | Dentist | 332 Suffield Sreet, Agawam, MA 01001 | 2016-06-23 |
| 1881001881 | Friends 4 Life LLC | Home Health | 650 Suffield Street, Agawam, MA 01001 | 2014-07-22 |
| 1306065792 | Alfred Louis Caron | Speech-Language Pathologist | Tender Loving Care, 67 Hunt St Suite 102, Agawam, MA 01001 | 2007-04-24 |
| 1497870935 | Maureen Clare Reynolds | Physical Therapy Assistant | 62 Cooper St, Agawam, MA 01001 | 2007-03-21 |
| 1700958857 | Agawam Medical Supply Corp | Prosthetic/Orthotic Supplier | 56 Abrams Drive, Agawam, MA 01001 | 2006-11-14 |
| 1356389167 | Michael Stephen Haynes | Podiatrist | 200 Silver St., Suite 215, Agawam, MA 01001 | 2006-06-03 |
| 1952369175 | Sharon Anne Macmillan | Obstetrics & Gynecology | 200 Silver Street, Suite 214, Agawam, MA 01001 | 2006-05-04 |
| 1275593758 | Internal Medicine PC | Internal Medicine | 377 Walnut Street Extension, Agawam, MA 01001 | 2006-03-27 |
| Find all providers in zip 01001 | ||||
| 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 |
|---|---|---|---|---|
| 1376580761 | Genesis Health Ventures of Massachusetts, Inc | Skilled Nursing Facility | 55 Cooper St, Agawam, MA 01001-2149 | 2006-06-02 |
| 1992784037 | Agawam Nursing LLC | Skilled Nursing Facility | 1200 Suffield St, Agawam, MA 01001-2933 | 2006-01-16 |
| 1437675527 | 1200 Suffield Street Operator LLC | Skilled Nursing Facility | 1200 Suffield St, Agawam, MA 01001-2933 | 2017-08-21 |
| 1699957415 | 464 Main Street Operations LLC | Skilled Nursing Facility | 464 Main St, Agawam, MA 01001-1826 | 2007-12-04 |
| 1952583775 | 61 Cooper Street Operations LLC | Skilled Nursing Facility | 61 Cooper St, Agawam, MA 01001-2149 | 2007-12-04 |
| 1508048323 | 55 Cooper Street Operations LLC | Skilled Nursing Facility | 55 Cooper St, Agawam, MA 01001-2149 | 2007-12-04 |
| 1326220146 | 65 Cooper Street Operations LLC | Skilled Nursing Facility | 65 Cooper St, Agawam, MA 01001-2149 | 2007-12-04 |
| 1033152046 | Genesis Health Ventures of Massachusetts, Inc. | Skilled Nursing Facility | 464 Main St, Agawam, MA 01001-1826 | 2006-06-14 |
| 1881636892 | Genesis Health Ventures of Massachusetts, Inc. | Skilled Nursing Facility | 65 Cooper St, Agawam, MA 01001-2149 | 2006-06-12 |
| 1053353060 | Genesis Health Ventures of Massachusetts, Inc | Skilled Nursing Facility | 61 Cooper St, Agawam, MA 01001-2149 | 2006-06-12 |
| Find all providers in AGAWAM | ||||
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| 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.