COUNTRY ESTATES OF AGAWAM
NPI 1992784037
Skilled Nursing Facility in Agawam, MA

Active since January 16, 2006
1200 SUFFIELD ST, AGAWAM, MA 01001(413) 789-2200 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Country Estates Of Agawam NPPES

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

COUNTRY ESTATES OF AGAWAM (NPI 1992784037) is a healthcare organization registered as a skilled nursing facility in Agawam, Massachusetts and active in the NPI registry since January 2006. The organization lists Brad Rolph, Cfo, as its authorized official.

NPPES Registry Identity

NPI1992784037
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameAGAWAM NURSING LLC
Location Address1200 SUFFIELD STAgawam, MA 01001-2933
Mailing Address50 Kerry PlNorwood, MA 02062-4775 · (781) 619-0250
Organization SubpartNo
Authorized OfficialBrad RolphCfo · (781) 297-8626
Enumeration DateJanuary 16, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1992784037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in MA · 0967
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.
1200 SUFFIELD ST, Agawam, MA 01001

Other Names 1

Doing Business AsCountry Estates Of Agawam

Other Identifiers 1

Medicaid0926744MA

Other Providers at the Same Location NPPES 6

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

Clinic/Center (Rehabilitation, Substance Use Disorder)
1200 SUFFIELD ST
AGAWAM, MA 01001
Physical Therapist
1200 SUFFIELD ST
AGAWAM, MA 01001
Skilled Nursing Facility
1200 SUFFIELD ST
AGAWAM, MA 01001
Skilled Nursing Facility
1200 SUFFIELD ST
AGAWAM, MA 01001
Substance Abuse Rehabilitation Facility
1200 SUFFIELD ST
AGAWAM, MA 01001
Physical Therapist
1200 SUFFIELD 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 Nursing LLC's NPI number?

The NPI number for Agawam Nursing LLC is 1992784037. It was assigned to this organization in the NPPES registry on January 16, 2006. The provider is doing business as Country Estates Of Agawam.

Where is Agawam Nursing LLC located?

Agawam Nursing LLC is located at 1200 Suffield St, Agawam, MA 01001. The listed phone number is (413) 789-2200.

What is Agawam Nursing 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 Nursing LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.