Healthcare Provider Details

I. General information

NPI: 1487089066
Provider Name (Legal Business Name): MOUNT CARMEL CARE CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2013
Last Update Date: 04/29/2025
Certification Date: 04/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 PITTSFIELD RD
LENOX MA
01240
US

IV. Provider business mailing address

320 PITTSFIELD RD
LENOX MA
01240-2377
US

V. Phone/Fax

Practice location:
  • Phone: 413-637-2660
  • Fax: 413-637-3085
Mailing address:
  • Phone: 413-637-2660
  • Fax: 413-637-3085

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier110098268A
Identifier TypeMEDICAID
Identifier StateMA
Identifier Issuer
# 2
Identifier225581
Identifier TypeOTHER
Identifier StateMA
Identifier IssuerMEDICARE

VIII. Authorized Official

Name: ROSEMARIE THERESA KASPER
Title or Position: COUNCIL LIASON
Credential:
Phone: 914-388-2441