Provider Demographics
NPI:1487089066
Name:MOUNT CARMEL CARE CENTER, INC.
Entity type:Organization
Organization Name:MOUNT CARMEL CARE CENTER, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:COUNCIL LIASON
Authorized Official - Prefix:
Authorized Official - First Name:ROSEMARIE
Authorized Official - Middle Name:THERESA
Authorized Official - Last Name:KASPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-388-2441
Mailing Address - Street 1:320 PITTSFIELD RD
Mailing Address - Street 2:
Mailing Address - City:LENOX
Mailing Address - State:MA
Mailing Address - Zip Code:01240-2377
Mailing Address - Country:US
Mailing Address - Phone:413-637-2660
Mailing Address - Fax:413-637-3085
Practice Address - Street 1:320 PITTSFIELD RD
Practice Address - Street 2:
Practice Address - City:LENOX
Practice Address - State:MA
Practice Address - Zip Code:01240
Practice Address - Country:US
Practice Address - Phone:413-637-2660
Practice Address - Fax:413-637-3085
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-13
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110098268AMedicaid
MA225581OtherMEDICARE