Healthcare Provider Details

I. General information

NPI: 1699026278
Provider Name (Legal Business Name): NEW ENGLAND HEALTH CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2012
Last Update Date: 12/13/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

61 OLD AMHERST RD
SUNDERLAND MA
01375-7501
US

IV. Provider business mailing address

17 VAN WINKLE RD
MONSEY NY
10952-1334
US

V. Phone/Fax

Practice location:
  • Phone: 413-665-2740
  • 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 StateMA

VIII. Authorized Official

Name: MR. AVI Z. LIPSCHUTZ
Title or Position: OWNER
Credential:
Phone: 845-517-9396