SOUTH HADLEY REHABILITATION AND NURSING CENTER LLC
NPI 1073479564
Nursing Facility/Intermediate Care Facility in South Hadley, MA

Q: What is South Hadley Rehabilitation And Nursing Center LLC's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Active since December 29, 2025CLIA 22D0067101 · Waiver

573 GRANBY RD, SOUTH HADLEY, MA 01075(413) 532-2200 Get Directions Write a Review

NPPES record last updated: December 29, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About South Hadley Rehabilitation And Nursing Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH HADLEY REHABILITATION AND NURSING CENTER LLC (NPI 1073479564) is a healthcare organization registered as a nursing facility/intermediate care facility in South Hadley, Massachusetts and active in the NPI registry since December 2025. The organization holds a CLIA Waiver certificate valid through August 31, 2028 and lists Akiva Horowitz, Manager, as its authorized official.

NPPES Registry Identity

NPI1073479564

Entity TypeOrganization

Primary Taxonomy313M00000X

Legal Business NameSOUTH HADLEY REHABILITATION AND NURSING CENTER LLC

Location Address573 GRANBY RDSouth Hadley, MA 01075-2122

Mailing Address573 Granby RdSouth Hadley, MA 01075-2122

Phone(413) 532-2200

Organization SubpartNo

Authorized OfficialAkiva HorowitzManager · (718) 974-0266

Enumeration DateDecember 29, 2025

NPPES CertifiedDecember 29, 2025

✔ NPI 1073479564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities

Taxonomy Code313M00000X

Definition

An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

573 GRANBY RD, South Hadley, MA 01075

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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 22D0067101

South Hadley Rehabilitation And Nursing Center · South Hadley, MA

Active · expires Aug 31, 2028

CLIA Number22D0067101

Laboratory TypeSkilled Nursing Facility/Nursing Facility

Certificate Effective DateSeptember 1, 2026

Certificate Expiration DateAugust 31, 2028

Laboratory DirectorDr. Fahim A. Kazi

Laboratory Phone(413) 532-2200

Laboratory LocationSouth Hadley Rehabilitation And Nursing Center573 Granby Rd, South Hadley, MA 01075

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. LORETTA JAMES OTR

Occupational Therapist