WESTFIELD ASSISTED LIVING , NPI 1093840035 — THE ARBORS AT WESTFIELD in WESTFIELD (MA)

NPI 1093840035

12+ Years Experience Organization

WESTFIELD ASSISTED LIVING

Other organization name: THE ARBORS AT WESTFIELD.

02/22/2007
PROVIDER ENUMERATION DATE
07.08.2007
LAST UPDATE DATE
1093840035
NPI NUMBER

About WESTFIELD ASSISTED LIVING

WESTFIELD ASSISTED LIVING is a provider established in WESTFIELD, MA. The NPI number of WESTFIELD ASSISTED LIVING is 1093840035 and was assigned on 02/22/2007. The practitioners primary taxonomy code is: 310400000X .

Mailing address

  • City: WESTFIELD
  • State: MA
  • Postal code: 10853669
  • Phone: 4135620001
  • Fax: 4135620099
  • Address: 40 COURT ST

Primary Practice Address

  • Region : WESTFIELD, MA
  • NPI : 1093840035
  • Phone : 4135620001
  • Fax : 4135620099
  • Postalcode : 10853669
  • Address : 40 COURT ST

Additional identifiers

  • Identifier: 1948776
  • Code / Type : 1 - other
  • Identifier state : MA
  • Identifier issuer: MASSHEALTH GAFC

Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Provider taxonomy - Assisted Living Facility

  • Taxonomy code: 310400000X

The taxonomy is the primary taxonomy (there can be only one per NPI record).

Taxonomy description: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

Contacts:

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  • WESTFIELD ASSISTED LIVING
  • Address : 40 COURT ST
  • Region : WESTFIELD, MA
  • NPI : 1093840035
  • Phone : 4135620001
  • Fax : 4135620099
  • Postalcode : 10853669

Authorized official :

{:AUTHORIZED_OFFICIAL_FIRST_NAME:} {:AUTHORIZED_OFFICIAL_MIDDLE_NAME:} {:AUTHORIZED_OFFICIAL_LAST_NAME:}
  • Phone : 4135254585
  • Title or position : OWNER

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field Name Value
Provider First Line Business Practice Location Address40 COURT ST
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameWESTFIELD
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameMA
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code10853669
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number4135620001
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number4135620099
The fax number associated with the location address of the provider being identified.
NPI1093840035
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 1310400000X
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Provider Enumeration Date02/22/2007
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated07.08.2007
The date that a record was last updated or changed.
Entity TypeOrganization
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Organization Name (Legal Business Name)WESTFIELD ASSISTED LIVING
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider Other Organization NameTHE ARBORS AT WESTFIELD
Other name by which the organization provider is or has been known.
Provider Other Organization Name Type Code5
Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/a) name; 4 = former legal business name; 5 = other.
Provider First Line Business Mailing Address40 COURT ST
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Business Mailing Address City NameWESTFIELD
The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name".
Provider Business Mailing Address State NameMA
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code10853669
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Telephone Number4135620001
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number4135620099
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
Authorized Official Last NameGRALIA
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Authorized Official First NameBONNIE
The first name of the authorized official
Authorized Official Title or PositionOWNER
The title or position of the authorized official
Authorized Official Telephone Number4135254585
The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code #1310400000X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Healthcare Provider Primary Taxonomy Switch 1Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Other Provider Identifier 11948776
Other Provider Identifier #1
Other Provider Identifier Type 11
  • 1 - Other
  • 5 - MEDICAID
Other Provider Identifier State 1MA
Other Provider Identifier State #1
Other Provider Identifier Issuer 1MASSHEALTH GAFC
Other Provider Identifier Issuer #1
X

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