RENAISSANCE MANOR ON CABOT
NPI 1093184715
Skilled Nursing Facility in Holyoke, MA

Active since September 23, 2015CLIA 22D0066753 · Waiver
279 CABOT ST, HOLYOKE, MA 01040(413) 536-3435(413) 536-3436 Get Directions Write a Review

NPPES record last updated: September 23, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Renaissance Manor On Cabot NPPES

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

RENAISSANCE MANOR ON CABOT (NPI 1093184715) is a healthcare organization registered as a skilled nursing facility in Holyoke, Massachusetts and active in the NPI registry since September 2015. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Michael T Berg, Assistant Secretary, as its authorized official.

NPPES Registry Identity

NPI1093184715
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business Name279 CABOT STREET OPERATIONS LLC
Location Address279 CABOT STHolyoke, MA 01040-3139
Mailing Address279 Cabot StHolyoke, MA 01040-3139 · (413) 536-3435 · Fax (413) 536-3436
Fax(413) 536-3436
Organization SubpartYesParent: Summit Care Llc
Authorized OfficialMichael T BergAssistant Secretary · (505) 468-4742
Enumeration DateSeptember 23, 2015
NPI 1093184715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
279 CABOT ST, Holyoke, MA 01040

Other Names 1

Doing Business AsRenaissance Manor On Cabot

Accepted Insurance

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 22D0066753

Renaissance Manor On Cabot · Holyoke, MA
Active · expires Aug 31, 2026
CLIA Number22D0066753
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorCollette Haskell
Laboratory Phone(413) 536-3435
Laboratory LocationRenaissance Manor On Cabot279 Cabot Street, Holyoke, MA 01040
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 8

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

Physical Therapy Assistant
279 CABOT ST
HOLYOKE, MA 01040
Skilled Nursing Facility
279 CABOT ST
HOLYOKE, MA 01040
Speech-Language Pathologist
279 CABOT ST
HOLYOKE, MA 01040
Occupational Therapist
279 CABOT ST
HOLYOKE, MA 01040
Physical Therapy Assistant
279 CABOT ST
HOLYOKE, MA 01040
Physical Therapy Assistant
279 CABOT ST
HOLYOKE, MA 01040
Occupational Therapist
279 CABOT ST
HOLYOKE, MA 01040
Occupational Therapy Assistant
279 CABOT ST
HOLYOKE, MA 01040

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 279 Cabot Street Operations LLC's NPI number?

The NPI number for 279 Cabot Street Operations LLC is 1093184715. It was assigned to this organization in the NPPES registry on September 23, 2015. The provider is doing business as Renaissance Manor On Cabot.

Where is 279 Cabot Street Operations LLC located?

279 Cabot Street Operations LLC is located at 279 Cabot St, Holyoke, MA 01040. The listed phone number is (413) 536-3435.

What is 279 Cabot Street Operations LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does 279 Cabot Street Operations LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D0066753) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does 279 Cabot Street Operations LLC accept?

Health plans from Harvard Pilgrim Health Care list 279 Cabot Street Operations LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for 279 Cabot Street Operations LLC was last updated on September 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.