=====================================================
General NPI Number Information
=====================================================
NPI Number | 1760035745
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | WESTMASS ELDERCARE, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/19/2019
-----------------------------------------------------
Last Update Date | 09/10/2019
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4 VALLEY MILL RD
-----------------------------------------------------
City | HOLYOKE
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 01040-5855
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 413-538-9020
-----------------------------------------------------
Fax | 413-538-6258
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4 VALLEY MILL RD
-----------------------------------------------------
City | HOLYOKE
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 01040-5855
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 413-538-9020
-----------------------------------------------------
Fax | 413-538-6258
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ASSISTANT DIRECTOR
-----------------------------------------------------
Name | JOANNE MARIE BORKOWSKI
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 413-538-9020
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251V00000X
-----------------------------------------------------
Taxonomy Name | Voluntary or Charitable Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------