GENESIS HEALTH VENTURES OF MASSACHUSETTS, INC. (NPI# 1639113038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639113038 |
| Entity Type | Organization |
| Organization Name | GENESIS HEALTH VENTURES OF MASSACHUSETTS, INC. |
| Other Organization Name | HERITAGE WOODS |
| Practice Address |
462 Main St Agawam MA 01001-1833 |
| Mailing Address |
101 E State St Kennett Square PA 19348-3109 |
| Practice Telephone | 4137869704 |
| Practice Fax Number | 4137898366 |
| Mailing Telephone | 6109254436 |
| Mailing Fax Number | 6109254351 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2011-11-11 |
| Authorized Official Name | JANE DROPESKEY (CORPORATE MANAGER) |
| Authorized Official Telephone | 6109254231 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | N/A | MA | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Heritage Woods | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| Street Address |
462 MAIN ST |
| City | AGAWAM |
| State | MA |
| Zip Code | 01001-1833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578012340 | Genesis Rehab Services PC | Occupational Therapist | 462 Main St, Agawam, MA 01001-1833 | 2016-09-22 |
| 1881990323 | Nicole R Wrobleski | Speech-Language Pathologist | 462 Main St, Agawam, MA 01001-1833 | 2011-02-01 |
| 1215119037 | Genesis Health Ventures of Massachusetts LLC | Assisted Living Facility | 462 Main St, Agawam, MA 01001-1833 | 2007-12-04 |
| 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 | 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 |
|---|---|---|---|---|
| 1841707098 | B-x Agawam LLC | Assisted Living Facility | 153 Cardinal Dr, Agawam, MA 01001-2182 | 2018-01-09 |
| 1215119037 | Genesis Health Ventures of Massachusetts LLC | Assisted Living Facility | 462 Main St, Agawam, MA 01001-1833 | 2007-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396370649 | Roderick Family LLC | Assisted Living Facility | 46 Lincoln St, Winthrop, MA 02152-2151 | 2020-03-06 |
| 1093355083 | Naafay, LLC | Assisted Living Facility | 265 Bear Hill Rd, North Andover, MA 01845-2115 | 2020-01-08 |
| 1184284705 | Erlin Manor Assisted Living, Inc. | Assisted Living Facility | 10b Erlin Ter, Tewksbury, MA 01876-2685 | 2019-06-17 |
| 1811465974 | Shi-iii Wrentham LLC | Assisted Living Facility | 30 Ledgeview Way, Attn: Executive Director Or Dba, Wrentham, MA 02093 | 2018-11-07 |
| 1023516465 | D'youville Leadership Solutions | Assisted Living Facility | 1085 Varnum Ave, Lowell, MA 01854-1133 | 2018-01-31 |
| 1457868622 | B-x Worcester LLC | Assisted Living Facility | 340 May St, Worcester, MA 01602-1800 | 2018-01-09 |
| 1811404544 | B-xi Operations Holding Company LLC | Assisted Living Facility | Benchmark At Robbins Brook, 10 Devon Drive, Acton, MA 01720 | 2018-01-03 |
| 1558876060 | Belchertown Heights Alf Lp | Assisted Living Facility | 99 Front Street, Belchertown, MA 01007 | 2017-12-06 |
| 1265962658 | Wincare LLC | Assisted Living Facility | 704 Beaver St, Waltham, MA 02452-5648 | 2017-06-18 |
| 1811434491 | Aniket Chakrabarti | Assisted Living Facility | 243 Church St Ste E, Pembroke, MA 02359-1962 | 2017-01-20 |
| Find all providers with the same taxonomy | ||||
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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.