Healthcare Provider Details
I. General information
NPI: 1689550410
Provider Name (Legal Business Name): SIXTEEN ACRES HILL HEALTH AND REHABILITATION CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/15/2025
Last Update Date: 08/15/2025
Certification Date: 08/15/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
215 BICENTENNIAL HWY
SPRINGFIELD MA
01118-1962
US
IV. Provider business mailing address
215 BICENTENNIAL HWY
SPRINGFIELD MA
01118-1962
US
V. Phone/Fax
- Phone: 413-796-7511
- Fax:
- Phone: 413-796-7511
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | |
| License Number State | |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name:
SAM
YUROWITZ
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 845-558-2685