Healthcare Provider Details
I. General information
NPI: 1407842610
Provider Name (Legal Business Name): AMHERST NURSING HOME, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/22/2005
Last Update Date: 05/15/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
150 UNIVERSITY DRIVE
AMHERST MA
01002
US
IV. Provider business mailing address
150 UNIVERSITY DRIVE
AMHERST MA
01002
US
V. Phone/Fax
- Phone: 413-256-8185
- Fax: 413-256-0138
- Phone: 413-256-8185
- Fax: 413-256-0138
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | |
| License Number State | MA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
SHARON
E.
MEYERS
Title or Position: CO-OWNER/ ADMINISTRATOR
Credential: R.N.
Phone: 413-256-8185