Src West Springfield, Inc. in Needham - Skilled Nursing Facility
Src West Springfield, Inc. - NPI 1336190867
Src West Springfield, Inc. is a Skilled Nursing Facility in Needham, Massachusetts. Src West Springfield, Inc. practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Src West Springfield, Inc. is 1336190867. The last update date is 2012-10-05.
Src West Springfield, Inc.'s current location address is 63 Kendrick St, Needham, Massachusetts. You can contact this provider via phone number 7817079085 and fax number 7817079285. The mailing address for Src West Springfield, Inc. is 63 Kendrick St, Needham, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Src West Springfield, Inc. |
|---|---|
| Address | 63 Kendrick St, Needham, Massachusetts |
| Phone Number | 7817079085 |
| Fax Number | 7817079285 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CFO |
|---|---|
| Authorized Official Name | Levin M. Tamilyn |
| Credentials | ESQ. |
| Telephone Number | 7817079510 |
NPI Number Detail
| NPI Number | 1336190867 |
|---|---|
| Provider Enumeration Date | 2006-05-12 |
| Last Updated Date | 2012-10-05 |
Provider Mailing Address Detail
| Address | 63 Kendrick St |
|---|---|
| City | Needham |
| State | Massachusetts (MA) |
| Post Code | 24942708 |
| Phone Number | 7817079085 |
| Fax Number | 7817079285 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 68 |
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Definition: (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 serv |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 110026486B | MA | -- | |
| 927481 | MA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Src West Springfield, Inc. by the Centers for Medicare & Medicaid Services?
The Src West Springfield, Inc. has been assigned the NPI (National Provider Identifier) 1336190867. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Src West Springfield, Inc.'s physical address?
The Src West Springfield, Inc. is physically located at 63 Kendrick St, in the city of Needham, MA, with the postal code 24942708.
What is the area of specialization for Src West Springfield, Inc., and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Src West Springfield, Inc. is Skilled Nursing Facility, and the corresponding taxonomy code that categorizes this area of expertise is 314000000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1336190867 to Src West Springfield, Inc.?
The Centers for Medicare & Medicaid Services originally issued the 1336190867 to Src West Springfield, Inc. on 2006-05-12.
As of what date was the information pertaining to Src West Springfield, Inc., such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Src West Springfield, Inc., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-10-05.