Organization
GENESIS HEALTH VENTURES OF MASSACHUSETTS, INC.
Active
Other names
Heritage Hall South
Organization subpart
No
Provider details
NPI number
Authorized official
JANE DROPESKEY (CORPORATE MANAGER)
(610) 925-4231
Entity
Organization
Contact information
Practice address
65 COOPER ST, AGAWAM, MA 01001-2149
(413) 786-8000
(413) 786-9788
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(610) 925-4436
(610) 925-4351
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0055
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000021319
BOSTON MEDICAL CENTER
—
01
—
0015749
NEIGHBORHOOD HEALTH PLAN
—
05
—
0940224
—
MA
01
—
2222517601
BC/BS
MD
01
—
2222517602
BC/BS - VENT
MA
01
—
2222517610
BC/BS - OUTPATIENT REHAB
MA
01
—
2462059
AETNA-HMO
—
01
—
71-01265
UNITED - EVERCARE
—
01
—
7964490
CIGNA(HEALTHSOURCE OF MA)
—
Enumeration date
06/12/2006
Last updated
06/21/2018
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