1487089066 NPI number — MOUNT CARMEL CARE CENTER, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1487089066 NPI number — MOUNT CARMEL CARE CENTER, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MOUNT CARMEL CARE CENTER, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1487089066
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/29/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
320 PITTSFIELD RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LENOX
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01240-2377
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
413-637-2660
Provider Business Mailing Address Fax Number:
413-637-3085

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
320 PITTSFIELD RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LENOX
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01240
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
413-637-2660
Provider Business Practice Location Address Fax Number:
413-637-3085
Provider Enumeration Date:
09/13/2013

Additional Information

Authorized Official

Authorized Official Last Name:
KASPER
Authorized Official First Name:
ROSEMARIE
Authorized Official Middle Name:
THERESA
Authorized Official Title or Position:
COUNCIL LIASON
Authorized Official Telephone Number:
914-388-2441

Provider Taxonomy Codes

  • Taxonomy code: 314000000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 110098268A , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 225581 . This is a "MEDICARE" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com