HOLYOKE SUD, LLC — NPI 1396328118 (Licensed & Credentialed Hospital Units — Rehabilitation — Substance Use Disorder Unit in HOLYOKE, MA)

CMS-1500 Box 24J / 33a • NPI

1396328118

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

276400000X (CMS A0[7])

Licensed & Credentialed Hospital Units — Rehabilitation — Substance Use Disorder Unit

Box 32 Service Location & ZIP+4

1233 MAIN ST, HOLYOKE, MA, 01040-5381

✓ 9-Digit EDI 837 ZIP+4 (01040-5381)

Practice Phone & Referral Fax

(413) 701-2600

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1396328118 (HOLYOKE SUD, LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1396328118` (NPI-2 Organization / Facility)
Provider / Legal Name	HOLYOKE SUD, LLC
Plain-English Specialty	Licensed & Credentialed Hospital Units — Rehabilitation — Substance Use Disorder Unit NUCC Code: `276400000X` (Rehabilitation, Substance Use Disorder Unit)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	1233 MAIN ST, HOLYOKE, MA, 01040-5381
Practice Telephone / Fax	Tel: (413) 701-2600
Administrative Mailing Address	85 PATTON RD, DEVENS, MA, 01434-4401
Enumeration & Last Sync	Enumerated: 2021-04-29 \| CMS Record Updated: 2021-04-29
Authorized Official	MICHAEL KRUPA (CEO)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1233 MAIN ST, HOLYOKE, MA, 01040-5381

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Plain-English Taxonomy & CMS Crosswalk (276400000X)

What Does Taxonomy Code 276400000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 276400000X translates to:
"Licensed & Credentialed Hospital Units — Rehabilitation — Substance Use Disorder Unit"

CMS-1500 Medicare Specialty Crosswalk: CMS Code A0[7] (Hospital Units)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Rehabilitation, Substance Use Disorder Unit for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (HOLYOKE SUD, LLC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`261QM0801X` — Clinic/Center, Mental Health (Including Community Mental Health Center) Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: N/A \| License: `Verified` \| Primary: Secondary
`276400000X` — Rehabilitation, Substance Use Disorder Unit Plain English: Licensed & Credentialed Hospital Units — Rehabilitation — Substance Use Disorder Unit	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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HOLYOKE SUD, LLC (NPI #1396328118)