Healthcare Provider Details

I. General information

NPI: 1144986977
Provider Name (Legal Business Name): GREENFIELD REHABILITATION AND NURSING CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2021
Last Update Date: 11/16/2021
Certification Date: 11/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

359 HIGH ST
GREENFIELD MA
01301-2617
US

IV. Provider business mailing address

359 HIGH ST
GREENFIELD MA
01301-2617
US

V. Phone/Fax

Practice location:
  • Phone: 413-774-6318
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: AKIVA HOROWITZ
Title or Position: MANAGER
Credential:
Phone: 718-974-0266