Provider Demographics
NPI:1124237540
Name:NORTHAMPTON HEALTHCARE ASSOCIATES LLC
Entity type:Organization
Organization Name:NORTHAMPTON HEALTHCARE ASSOCIATES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF REHAB
Authorized Official - Prefix:MS
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:EASTWOOD-LIN
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:413-586-3300
Mailing Address - Street 1:737 BRIDGE ROAD
Mailing Address - Street 2:
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01060-1099
Mailing Address - Country:US
Mailing Address - Phone:413-586-3300
Mailing Address - Fax:413-586-4279
Practice Address - Street 1:737 BRIDGE ROAD
Practice Address - Street 2:
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060
Practice Address - Country:US
Practice Address - Phone:413-586-3300
Practice Address - Fax:413-586-4279
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2009-04-23
Deactivation Date:2008-04-30
Deactivation Code:
Reactivation Date:2008-09-24
Provider Licenses
StateLicense IDTaxonomies
MA0775314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA225381Medicare Oscar/Certification