METROCARE OF SPRINGFIELD (NPI# 1730622614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730622614 |
| Entity Type | Organization |
| Organization Name | METROCARE OF SPRINGFIELD |
| Practice Address |
125 Liberty St Springfield MA 01103-1114 |
| Practice Telephone | 4132410463 |
| Mailing Telephone | 4132410463 |
| Enumeration Date | 2016-11-28 |
| Last Update Date | 2016-11-28 |
| Authorized Official Name | ALEX EYDINOV (MANAGER) |
| Authorized Official Telephone | 4132410463 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311Z00000X | Custodial Care Facility | 110112919B | MA | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912440892 | Metrocare of Springfield | Nursing Care | 125 Liberty St, Suite 404, Springfield, MA 01103-1114 | 2016-11-28 |
| Street Address |
125 LIBERTY ST |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01103-1114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619977402 | Peter T Demos | Dermatology | 125 Liberty St, Springfield, MA 01103-2961 | 2005-07-22 |
| 1881206241 | Carl Amyas Taylor | Counselor | 125 Liberty St, Springfield, MA 01103-1114 | 2020-08-18 |
| 1346892437 | L&l Life Enrichment Center LLC | Psychologist | 125 Liberty St, Springfield, MA 01103-1114 | 2019-07-10 |
| 1912440892 | Metrocare of Springfield | Nursing Care | 125 Liberty St, Suite 404, Springfield, MA 01103-1114 | 2016-11-28 |
| 1215384409 | Adult and Geriatric Medicine Partners, L.L.C. | Family Medicine | 125 Liberty St, Suite 403, Springfield, MA 01103-1114 | 2016-05-18 |
| 1457717795 | Metrocare of Springfield LLC | In Home Supportive Care | 125 Liberty St, Suite 404, Springfield, MA 01103-1109 | 2015-12-31 |
| 1457729741 | Right Choice Health Group LLC | Clinic/Center | 125 Liberty St, Suite 205, Springfield, MA 01103-1114 | 2015-09-03 |
| 1730557018 | Mindcare Agency PC | Community/Behavioral Health | 125 Liberty St, Suite 205, Springfield, MA 01103-1114 | 2015-09-03 |
| 1427431402 | Nicole Dacampo | Registered Nurse | 125 Liberty St, Suite 205, Springfield, MA 01103-1114 | 2015-07-08 |
| 1427435262 | Nancie Moran | Nurse Practitioner | 125 Liberty St, Suite 403, Springfield, MA 01103-1114 | 2015-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336790609 | Mahmoud Al Homsi | Dentist | 41 Taylor St. 4th Fl, Springfield, MA 01103 | 2019-09-26 |
| 1427521749 | Pedro Cruz | Student in an Organized Health Care Education/Training Program | 95 Frank B Murray, Springfield, MA 01103 | 2019-01-09 |
| 1003325010 | Amber Lynn Chisholm | Counselor | 130 Maple St., Springfield, MA 01103 | 2017-09-21 |
| 1750737391 | Mande' Counseling | Community/Behavioral Health | 1365 Main St Suite 401, Springfield, MA 01103 | 2016-05-13 |
| 1528467248 | Amanda M Galloway | Physician Assistant | 1038-1050 Main St, Springfield, MA 01103 | 2014-08-19 |
| 1114326113 | Anne Marie Belinda | Nurse Practitioner | 1049 Main St., Springfield, MA 01103 | 2014-08-15 |
| 1538575295 | Sunrise Behavioral Health Clinic, LLC | Clinic/Center | 95 Frank B. Murray Street, Springfield, MA 01103 | 2014-07-02 |
| 1548675093 | Jessica Lynn Pasalacqua | Dietitian, Registered | 870 Main St., Springfield, MA 01103 | 2014-06-24 |
| 1003220443 | Ivan Rosario | Counselor | 1695 Main St Ste400, Springfield, MA 01103 | 2014-06-13 |
| 1275964769 | Leeandrew Rick Wilson | Counselor | 1695 Main St., Springfield, MA 01103 | 2013-12-09 |
| Find all providers in zip 01103 | ||||
| Taxonomy Code | 311Z00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. |
| Notes: Source: Paraphrased from Section 3159 A3 of the Medicare Intermediary Manual. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376661835 | Maple Hill Rest Home Inc | Custodial Care Facility | 156 Mill St, Springfield, MA 01108-1022 | 2007-03-26 |
| 1275651721 | Ellen Rice Rest Home Inc | Custodial Care Facility | 38 Warner St, Springfield, MA 01108-1515 | 2007-03-26 |
| 1790802510 | Lord Nathan Rest Home | Custodial Care Facility | 175 Bowdoin St, Springfield, MA 01109-4050 | 2007-03-25 |
| 1285910240 | Village Keepers | Custodial Care Facility | 57 School St, Springfield, MA 01105-3071 | 2011-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023588043 | Caregiver Homes of South Dakota Inc | Custodial Care Facility | 120 Saint James Ave Fl 4, Boston, MA 02116-5001 | 2018-12-03 |
| 1225577653 | Oasis At Dodge Park, LLC | Custodial Care Facility | 102 Randolph Rd, Worcester, MA 01606-2465 | 2017-02-17 |
| 1295169977 | Boston Nutrition Care | Custodial Care Facility | 51 Neponset Ave, Dorchester, MA 02122-3321 | 2013-08-29 |
| 1912203217 | Goddard/homestead | Custodial Care Facility | 10 Homestead Avenue, Worcester, MA 01610 | 2011-02-03 |
| 1871817569 | Horn Home for Aged | Custodial Care Facility | 98 Smith St, Lowell, MA 01851-2614 | 2010-03-24 |
| 1114166188 | Oosterman Rest Home Inc. | Custodial Care Facility | 93 Laurel St, Melrose, MA 02176-4044 | 2009-02-13 |
| 1124267299 | Oosterman's Melrose Rest Home Inc. | Custodial Care Facility | 101 Laurel St, Melrose, MA 02176-4044 | 2009-02-13 |
| 1265608236 | Sophia Snow House, Inc. | Custodial Care Facility | 1215 Centre St, West Roxbury, MA 02132-7701 | 2008-04-30 |
| 1851579031 | Ez Home Care | Custodial Care Facility | 85 Alexander St, Dorchester, MA 02125-2727 | 2008-02-09 |
| 1891989000 | Davenport Memorial Foundation | Custodial Care Facility | 70 Salem St, Malden, MA 02148-5208 | 2007-08-30 |
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| City | SPRINGFIELD |
| Zip Code | 01103 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.