AMERICAN MASTERS VILLAGE (NPI# 1609099134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609099134 |
| Entity Type | Organization |
| Organization Name | AMERICAN MASTERS VILLAGE |
| Other Organization Name | GRAYSON HOUSE ASSISTED LIVING |
| Practice Address |
942 Grayson Dr Springfield MA 01119-1547 |
| Practice Telephone | 4134269868 |
| Practice Fax Number | 4134269651 |
| Mailing Telephone | 4134269868 |
| Mailing Fax Number | 4134269651 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. DEANNA LYNN LAWRENCE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4134269868 |
| Authorized Official Credential | M.P.H. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | MI | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 1906348 | 05 |
| Other Name | Type Code |
|---|---|
| Grayson House Assisted Living | Doing Business As Name - Organization |
| Street Address |
942 GRAYSON DR |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01119-1547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225587769 | Csl Springfield Ma, LLC | Assisted Living Facility | 942 Grayson Dr, Springfield, MA 01119-1547 | 2016-09-26 |
| 1528295540 | Sharlotte Caroline Risley | Occupational Therapist | 942 Grayson Dr, Springfield, MA 01119-1547 | 2009-06-17 |
| 1548404635 | Paul E Mccloskey | Physical Therapist | 942 Grayson Dr, Springfield, MA 01119-1547 | 2009-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689228140 | Dr Dental of Massachusetts PC | Clinic/Center | 1101 Boston Road, Springfield, MA 01119 | 2019-08-01 |
| 1740740737 | Western New England University | Physician Assistant | 215 Wilbraham Road, Springfield, MA 01119 | 2019-03-25 |
| 1801289814 | Erica Morin | Student in an Organized Health Care Education/Training Program | 45 Jonquil Drive, Springfield, MA 01119 | 2015-03-16 |
| 1255764890 | Jennifer Marie Alli | Nurse Practitioner | 1215 Wilbraham Road, Springfield, MA 01119 | 2013-08-19 |
| 1437282423 | James H Courniotes II | Podiatrist | 1786 Wilbraham Road, Springfield, MA 01119 | 2007-03-13 |
| 1598876260 | Kevin Louis Trombly | Dentist | 1575 Wilbraham Rd, Springfield, MA 01119 | 2006-08-31 |
| 1356378970 | Michael A Vallee | Specialist/Technologist | Western New England College, 1215 Wilbraham Rd., Springfield, MA 01119 | 2006-06-27 |
| 1124005699 | Foot Specialists Associates Inc | Podiatrist | 1786 Wilbraham Rd, Springfield, MA 01119 | 2005-12-27 |
| 1598242182 | Sarah Ann Lak | Social Worker | 3350 Main Street, Springfied, MA 01119 | 2018-07-26 |
| 1881988475 | Tanya O'neil | Occupational Therapist | 68 Wollaston St, Springfield, MA 01119 | 2011-06-01 |
| Find all providers in zip 01119 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871107482 | Springfield Residential, LLC | Assisted Living Facility | 2530 South Main Street, Springfield, TN 37172 | 2020-09-01 |
| 1649835034 | Joyco, Inc. | Assisted Living Facility | 2030 W Mount Vernon St, Springfield, MO 65802-4846 | 2019-05-01 |
| 1033648274 | Creekside At Elfindale | Assisted Living Facility | 1601 S Fort Ave, Springfield, MO 65807-8430 | 2017-06-10 |
| 1386039659 | Snh Al Aimo Tenant, Inc. | Assisted Living Facility | 3540 E Cherokee St, Springfield, MO 65809-2833 | 2015-04-02 |
| 1023403391 | Snh Al Aimo Tenant, Inc. | Assisted Living Facility | 2410 W Chesterfield Blvd, Springfield, MO 65807-8889 | 2015-04-02 |
| 1841682424 | Americare At Centennial Pointe Assisted Living LLC | Assisted Living Facility | 3440 Hedley Road, Springfield, IL 62711 | 2015-02-19 |
| 1851793285 | Timberlake Estates Slf, Lp | Assisted Living Facility | 2521 Empowerment Rd, Springfield, IL 62703-4983 | 2014-09-17 |
| 1851664981 | Sunrise Springfield Assisted Living LLC | Assisted Living Facility | 6541 Franconia Rd, Springfield, VA 22150-1801 | 2012-02-21 |
| 1215209226 | Bslc II | Assisted Living Facility | 1302 West Sunset, Springfield, MO 65807-5943 | 2012-02-07 |
| 1497998918 | Timberlake Senior Living | Assisted Living Facility | 2521 Empowerment Road, Springfield, IL 62703 | 2009-04-14 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 01119 |
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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.