NEW ENGLAND DEACONESS ASSOCIATION (NPI# 1508959024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508959024 |
| Entity Type | Organization |
| Organization Name | NEW ENGLAND DEACONESS ASSOCIATION |
| Other Organization Name | ROCKRIDGE@LAUREL PARK |
| Practice Address |
25 Coles Meadow Road Northampton MA 01060-3191 |
| Mailing Address |
80 Deaconess Road Concord MA 01742-4113 |
| Practice Telephone | 9783695151 |
| Practice Fax Number | 9783711755 |
| Mailing Telephone | 9783695151 |
| Mailing Fax Number | 9783711755 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JOHN ZOLTOWSKI (EXECUTIVE DIRECTOR/VISE PRESIDENT O) |
| Authorized Official Telephone | 9783695151 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 1297 | MA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 5501253 | 05 |
| Other Name | Type Code |
|---|---|
| Rockridge@Laurel Park | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528055019 | New England Deaconess Association | Skilled Nursing Facility | 80 Deaconess Rd, Concord, MA 01742-4113 | 2005-09-30 |
| 1316483910 | New England Deaconess Association | Residential Treatment Facility, Physical Disabilities | 80 Deaconess Rd, Concord, MA 01742-4168 | 2017-01-06 |
| Street Address |
25 COLES MEADOW ROAD |
| City | NORTHAMPTON |
| State | MA |
| Zip Code | 01060-3191 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942869318 | Stephanie Jordan | Counselor | 16 Center St Ste 517, Northampton, MA 01060 | 2019-06-10 |
| 1659853828 | James Drisko | Social Worker | 159 Crescent St, Northampton, MA 01060 | 2018-09-04 |
| 1063994416 | Nancy P Doby | Social Worker | 84 Conz Street, Northampton, MA 01060 | 2018-09-02 |
| 1356821144 | Kathleen Ann Goodwin-boyd | Social Worker | Northampton High School, 380 Elm Street, Northampton, MA 01060 | 2018-08-21 |
| 1457847048 | Kathryn Karusaitis Basham | Social Worker | 155 Main Street C/o Dr. Herzog Phd, Northampton, MA 01060 | 2018-07-06 |
| 1700392289 | Angel Marie Kennedy | Behavioral Analyst | 351 Pleasant St Ste B126, Northampton, MA 01060 | 2017-12-20 |
| 1013437508 | Ricky Jermaine Logan | Counselor | 129 North King Street, Northampton, MA 01060 | 2017-06-26 |
| 1962858886 | Alicia Simoni | Social Worker | 25 Main St Ste 445, Northampton, MA 01060 | 2016-05-10 |
| 1134589708 | James Edmonstone | Clinic/Center | 78 Mainst., Suite 404, Northampton, MA 01060 | 2016-02-25 |
| 1114395639 | Danielle Baker | Speech-Language Pathologist | 228 King St Ste 2, Northampton, MA 01060 | 2015-09-15 |
| Find all providers in zip 01060 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518169697 | Evelyn Rose Browning | Nursing Facility/Intermediate Care Facility | 84 Market St, Northampton, MA 01060-3210 | 2007-06-01 |
| 1558578690 | Northampton Rehabilation and Nursing Center | Nursing Facility/Intermediate Care Facility | 737 Bridge Rd, Northampton, MA 01060-1526 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053873547 | Awenasa Home Inc. | Nursing Facility/Intermediate Care Facility | 71 Union St., Willowbrook Manor Rest Home, Millis, MA 02054 | 2019-04-03 |
| 1932566056 | Medford Adhc | Nursing Facility/Intermediate Care Facility | 101 Mystic Ave, Medford, MA 02155-4628 | 2016-01-20 |
| 1104242692 | Annelise Pfeiffer | Nursing Facility/Intermediate Care Facility | 1 Sleepy Hollow Dr, Plymouth, MA 02360-3579 | 2014-03-09 |
| 1780005330 | Registered Nurse Agency | Nursing Facility/Intermediate Care Facility | 580 Shawmut Ave, Apt 1a, Boston, MA 02118-1775 | 2013-12-30 |
| 1689939464 | Continuum Healthcare Solutions, LLC | Nursing Facility/Intermediate Care Facility | 52 Olney Rd, Palmer, MA 01069-9876 | 2012-07-09 |
| 1104017292 | Burgoyne Rest Home Inc | Nursing Facility/Intermediate Care Facility | 53 Hartford St, Dorchester, MA 02125-2829 | 2007-08-05 |
| 1043401136 | Anns Rest Home Inc. | Nursing Facility/Intermediate Care Facility | 66 Bowdoin Ave, Dorchester, MA 02121-3902 | 2007-08-05 |
| 1972714509 | Eve Gibson | Nursing Facility/Intermediate Care Facility | 43 Truby St, Granby, MA 01033-9539 | 2007-05-25 |
| 1982815502 | Linda O'donnell | Nursing Facility/Intermediate Care Facility | 112 Pittroff Ave, South Hadley, MA 01075-2238 | 2007-05-25 |
| 1770799058 | Newfield House, Inc. | Nursing Facility/Intermediate Care Facility | 19 Newfield St, Plymouth, MA 02360-3401 | 2007-05-15 |
| Find all providers with the same taxonomy | ||||
| City | NORTHAMPTON |
| Zip Code | 01060 |
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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.