Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

AGAWAM SOUTH OPERATING LLC
NPI 1417852245
Skilled Nursing Facility in Agawam, MA

Active since October 12, 2026
65 COOPER ST, AGAWAM, MA 01001(413) 786-8000 Get Directions Write a Review

NPPES record added: October 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Agawam South Operating Llc NPPES

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

AGAWAM SOUTH OPERATING LLC (NPI 1417852245), doing business as Agawam South Rehab And Nursing, is a healthcare organization registered as a skilled nursing facility in Agawam, Massachusetts and active in the NPI registry since October 2026. The organization lists Nicholas Destefane, Ceo, as its authorized official.

NPPES Registry Identity

NPI1417852245
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameAGAWAM SOUTH OPERATING LLC
Location Address65 COOPER STAgawam, MA 01001-2149
Mailing Address1869 Craig Park CtSaint Louis, MO 63146-4122
Organization SubpartNo
Authorized OfficialNicholas DestefaneCeo · (314) 543-3800
Enumeration DateOctober 12, 2026
NPPES CertifiedOctober 12, 2026
✔ NPI 1417852245 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.
65 COOPER ST, Agawam, MA 01001

Other Names 1

Doing Business AsAgawam South Rehab And Nursing

Other Providers at the Same Location NPPES 20

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

Occupational Therapist
65 COOPER ST
AGAWAM, MA 01001
Occupational Therapy Assistant
65 COOPER ST
AGAWAM, MA 01001
Nurse Practitioner (Adult Health)
65 COOPER ST
AGAWAM, MA 01001
Student in an Organized Health Care Education/Training Program
65 COOPER ST
AGAWAM, MA 01001
Physical Therapist
65 COOPER ST
AGAWAM, MA 01001
Skilled Nursing Facility
65 COOPER ST
AGAWAM, MA 01001
Physical Therapist
65 COOPER ST
AGAWAM, MA 01001
Occupational Therapist
65 COOPER ST
AGAWAM, MA 01001

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 Agawam South Operating LLC's NPI number?

The NPI number for Agawam South Operating LLC is 1417852245. It was assigned to this organization in the NPPES registry on October 12, 2026. The provider is doing business as Agawam South Rehab and Nursing.

Where is Agawam South Operating LLC located?

Agawam South Operating LLC is located at 65 Cooper St, Agawam, MA 01001. The listed phone number is (413) 786-8000.

What is Agawam South Operating LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Agawam South Operating LLC was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.