Healthcare Provider Details

I. General information

NPI: 1902733918
Provider Name (Legal Business Name): APPLEWOOD REST HOME
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

171 S ROYALSTON RD
ATHOL MA
01331-9707
US

IV. Provider business mailing address

171 S ROYALSTON RD
ATHOL MA
01331-9707
US

V. Phone/Fax

Practice location:
  • Phone: 908-812-9514
  • Fax:
Mailing address:
  • Phone: 908-812-9514
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License Number
License Number State

VIII. Authorized Official

Name: MS. SAMINA KASHIF
Title or Position: ADMINSITRATOR
Credential:
Phone: 908-812-9514