Provider Demographics
NPI:1093840035
Name:WESTFIELD ASSISTED LIVING
Entity type:Organization
Organization Name:WESTFIELD ASSISTED LIVING
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BONNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GRALIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-525-4585
Mailing Address - Street 1:40 COURT ST
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01085-3669
Mailing Address - Country:US
Mailing Address - Phone:413-562-0001
Mailing Address - Fax:413-562-0099
Practice Address - Street 1:40 COURT ST
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:MA
Practice Address - Zip Code:01085-3669
Practice Address - Country:US
Practice Address - Phone:413-562-0001
Practice Address - Fax:413-562-0099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1948776OtherMASSHEALTH GAFC