METROCARE OF SPRINGFIELD (NPI# 1912440892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912440892 |
Entity Type | Organization |
Organization Name | METROCARE OF SPRINGFIELD |
Practice Address |
125 Liberty St Suite 404 Springfield MA 01103-1114 |
Practice Telephone | 4132410463 |
Enumeration Date | 2016-11-28 |
Last Update Date | 2016-11-28 |
Authorized Official Name | ALEX EYDINOV (MANAGER) |
Authorized Official Telephone | 4132410463 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251J00000X | Nursing Care | 110112919B | MA | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | 110112919B | 05 | |
MA | 110112919A | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730622614 | Metrocare of Springfield | Custodial Care Facility | 125 Liberty St, Springfield, MA 01103-1114 | 2016-11-28 |
Street Address |
125 LIBERTY ST SUITE 404 |
City | SPRINGFIELD |
State | MA |
Zip Code | 01103-1114 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619977402 | Peter T Demos | Dermatology | 125 Liberty St, Springfield, MA 01103-2961 | 2005-07-22 |
1881206241 | Carl Amyas Taylor | Counselor | 125 Liberty St, Springfield, MA 01103-1114 | 2020-08-18 |
1346892437 | L&l Life Enrichment Center LLC | Psychologist | 125 Liberty St, Springfield, MA 01103-1114 | 2019-07-10 |
1730622614 | Metrocare of Springfield | Custodial Care Facility | 125 Liberty St, Springfield, MA 01103-1114 | 2016-11-28 |
1215384409 | Adult and Geriatric Medicine Partners, L.L.C. | Family Medicine | 125 Liberty St, Suite 403, Springfield, MA 01103-1114 | 2016-05-18 |
1457717795 | Metrocare of Springfield LLC | In Home Supportive Care | 125 Liberty St, Suite 404, Springfield, MA 01103-1109 | 2015-12-31 |
1457729741 | Right Choice Health Group LLC | Clinic/Center | 125 Liberty St, Suite 205, Springfield, MA 01103-1114 | 2015-09-03 |
1730557018 | Mindcare Agency PC | Community/Behavioral Health | 125 Liberty St, Suite 205, Springfield, MA 01103-1114 | 2015-09-03 |
1427431402 | Nicole Dacampo | Registered Nurse | 125 Liberty St, Suite 205, Springfield, MA 01103-1114 | 2015-07-08 |
1427435262 | Nancie Moran | Nurse Practitioner | 125 Liberty St, Suite 403, Springfield, MA 01103-1114 | 2015-04-30 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336790609 | Mahmoud Al Homsi | Dentist | 41 Taylor St. 4th Fl, Springfield, MA 01103 | 2019-09-26 |
1427521749 | Pedro Cruz | Student in an Organized Health Care Education/Training Program | 95 Frank B Murray, Springfield, MA 01103 | 2019-01-09 |
1003325010 | Amber Lynn Chisholm | Counselor | 130 Maple St., Springfield, MA 01103 | 2017-09-21 |
1750737391 | Mande' Counseling | Community/Behavioral Health | 1365 Main St Suite 401, Springfield, MA 01103 | 2016-05-13 |
1528467248 | Amanda M Galloway | Physician Assistant | 1038-1050 Main St, Springfield, MA 01103 | 2014-08-19 |
1114326113 | Anne Marie Belinda | Nurse Practitioner | 1049 Main St., Springfield, MA 01103 | 2014-08-15 |
1538575295 | Sunrise Behavioral Health Clinic, LLC | Clinic/Center | 95 Frank B. Murray Street, Springfield, MA 01103 | 2014-07-02 |
1548675093 | Jessica Lynn Pasalacqua | Dietitian, Registered | 870 Main St., Springfield, MA 01103 | 2014-06-24 |
1003220443 | Ivan Rosario | Counselor | 1695 Main St Ste400, Springfield, MA 01103 | 2014-06-13 |
1275964769 | Leeandrew Rick Wilson | Counselor | 1695 Main St., Springfield, MA 01103 | 2013-12-09 |
Find all providers in zip 01103 |
Taxonomy Code | 251J00000X |
Grouping | Agencies |
Classification | Nursing Care |
A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. |
Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164995981 | Aims Vascular Access, LLC | Nursing Care | 1859 Rambling Dr, Springfield, OR 97477-2417 | 2019-01-03 |
1467937243 | Vital Wellness Home Health Inc. | Nursing Care | 2681 Montega Dr., Suite E, Springfield, IL 60704 | 2018-09-27 |
1346741063 | Patience Archer | Nursing Care | 920 S Spring St, Springfield, IL 62704-2725 | 2018-02-27 |
1245741172 | Abf Home Healthcare Services, LLC | Nursing Care | 6820 Commercial Drive Suite D, Springfield, VA 22151 | 2017-10-18 |
1043684376 | Millbrooke Inc | Nursing Care | 426 S 5th St, Springfield, IL 62701-1820 | 2015-11-24 |
1437458437 | Phoenix Home Care, Inc. | Nursing Care | 3031 S Kansas Expy, Springfield, MO 65807-5969 | 2011-03-16 |
1861710055 | Patient Centered Medical Care Inc | Nursing Care | 68 Wollaston St, Springfield, MA 01119-1638 | 2010-05-12 |
1316129208 | Southwest Missouri Homecare, LLC | Nursing Care | 1240 E Independence St, Suite 100, Springfield, MO 65804-4386 | 2007-12-03 |
1538266986 | Maxim Healthcare Services, Inc. | Nursing Care | 2942 E Battlefield St, Springfield, MO 65804-4016 | 2006-09-20 |
1336644863 | Archer Home Health Solutions | Nursing Care | 920 S Spring St, Springfield, IL 62704-2725 | 2018-03-27 |
Find all providers in SPRINGFIELD |
City | SPRINGFIELD |
Zip Code | 01103 |
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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.