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AGAWAM SOUTH REHAB AND NURSING LLC
NPI 1639856461
Skilled Nursing Facility in Agawam, MA

Active since July 03, 2023CLIA Certified · 4 labs
3/5
Overall Rating
65 COOPER ST, AGAWAM, MA 01001(413) 786-8000(413) 306-6401 Get Directions Write a Review

NPPES record last updated: August 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 15, 2023, Jul 3, 2023 (2 updates tracked since 2023).

About Agawam South Rehab And Nursing Llc NPPES

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

AGAWAM SOUTH REHAB AND NURSING LLC (NPI 1639856461) is a healthcare organization registered as a skilled nursing facility in Agawam, Massachusetts and active in the NPI registry since July 2023. The organization holds 4 active CLIA laboratory certificates and lists Benjamin Friedman, Cfo, as its authorized official.

NPPES Registry Identity

NPI1639856461
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameAGAWAM SOUTH REHAB AND NURSING LLC
Location Address65 COOPER STAgawam, MA 01001-2149
Mailing Address7b Medical Park DrPomona, NY 10970-3516 · (845) 414-3300 · Fax (845) 517-4796
Phone(413) 786-8000
Fax(413) 306-6401
Organization SubpartNo
Authorized OfficialBenjamin FriedmanCfo · (845) 414-3300
Enumeration DateJuly 3, 2023
Last NPPES UpdateAugust 15, 20232 updates tracked since enumeration
NPPES CertifiedAugust 15, 2023
✔ NPI 1639856461 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
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.Insurance ›

CLIA Laboratory Certificates CMS CLIA 4

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 22D0066395

Agawam South Rehab And Nursing LLC · Agawam, MA
Active · expires Aug 31, 2026
CLIA Number22D0066395
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorChaim Millman
Laboratory Phone(845) 414-3300
Laboratory LocationAgawam South Rehab And Nursing LLC65 Cooper St, Agawam, MA 01001
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 22D0899162

Agawam West Rehab And Nursing LLC · Agawam, MA
Active · expires Mar 21, 2027
CLIA Number22D0899162
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateMarch 22, 2025
Certificate Expiration DateMarch 21, 2027
Laboratory DirectorChaim Millman
Laboratory Phone(845) 414-3300
Laboratory LocationAgawam West Rehab And Nursing LLC61 Cooper St, Agawam, MA 01001
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 22D0649936

Agawam North Rehab And Nursing LLC · Agawam, MA
Active · expires Aug 31, 2026
CLIA Number22D0649936
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorChaim Millman
Laboratory Phone(845) 414-3300
Laboratory LocationAgawam North Rehab And Nursing LLC55 Cooper St, Agawam, MA 01001
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 22D0649938

Agawam East Rehab And Nursing LLC · Agawam, MA
Active · expires Aug 31, 2026
CLIA Number22D0649938
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorChaim Millman
Laboratory Phone(845) 414-3300
Laboratory LocationAgawam East Rehab And Nursing LLC464 Main St, Agawam, MA 01001
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Agawam South Rehab And Nursing (CMS certification number 225176), from CMS Care Compare.

Agawam South Rehab And Nursing

Nursing home · Agawam, MA
3/5 CMS Overall Rating
OwnershipFor profit - Limited Liability company
CMS Certification Number225176
Certified Beds122 beds91 residents per day on average
Medicare & Medicaid Participant SinceMarch 4, 1969
Resident & Family CouncilResident council
Automatic sprinkler system Ownership changed in last 12 months

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
4/5
Long-Stay Quality
Quality of care delivered to long-term residents.
4/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
3/5
Staffing
Based on nursing staff hours relative to resident needs.
3/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
48
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 1.89 · LPN 0.72 · RN 0.8
3.41 hrs per resident per day
Weekend Nurse Staffing
2.97 hrs per resident per day
Physical Therapist Staffing
0.02 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
46.7%
Registered Nurse Turnover
33.3%
Administrators Who Have Left
In the past year.
1
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
0
Fines
0
Medicare Payment Denials
0
Total Penalties
0
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

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.

KIMBERLY A MORAN OCCUPATIONAL THERAPY
Occupational Therapist
65 COOPER ST
AGAWAM, MA 01001
Hampden County (413) 786-8000
KYLA LEE ANN KISSINGER COTA/L
Occupational Therapy Assistant
65 COOPER ST
AGAWAM, MA 01001
Hampden County (413) 786-8000
MS. CAROLYN M BEGGS NP
Nurse Practitioner (Adult Health)
65 COOPER ST
AGAWAM, MA 01001
Hampden County (413) 786-8000
MISS MICHELLE ANNE MONTANO CF-SLP
Student in an Organized Health Care Education/Training Program
65 COOPER ST
AGAWAM, MA 01001
Hampden County (413) 786-8000
ANNA SWIADER-BOUNICONTI PHYSICAL THERAPIST
Physical Therapist
65 COOPER ST
AGAWAM, MA 01001
Hampden County (413) 786-8000
65 COOPER STREET OPERATIONS LLC
Skilled Nursing Facility
65 COOPER ST
AGAWAM, MA 01001
Hampden County (413) 786-8000
MR. CHRISTOPHER GEORGE DUGRE MPT
Physical Therapist
65 COOPER ST
AGAWAM, MA 01001
Hampden County (413) 786-8000
NANCY DINAN OTR/L
Occupational Therapist
65 COOPER ST
AGAWAM, MA 01001
Hampden County (413) 786-8000

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 Rehab And Nursing LLC's NPI number?

The NPI number for Agawam South Rehab And Nursing LLC is 1639856461. It was assigned to this organization in the NPPES registry on July 3, 2023.

Where is Agawam South Rehab And Nursing LLC located?

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

What is Agawam South Rehab And Nursing LLC's specialty?

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

Does Agawam South Rehab And Nursing LLC hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

Is Agawam South Rehab And Nursing LLC a Medicare-certified nursing home?

Yes. Agawam South Rehab And Nursing is a Medicare-certified nursing home with 122 certified beds.

What quality rating does Agawam South Rehab And Nursing LLC have?

CMS rates Agawam South Rehab And Nursing 3 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Agawam South Rehab And Nursing LLC accept?

Health plans from Harvard Pilgrim Health Care list Agawam South Rehab And Nursing 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 Agawam South Rehab And Nursing LLC was last updated on August 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.