Organization · Type 2 NPI

Agawam South Operating LLC

Skilled Nursing Facility · Agawam, MA

NPI number 1417852245 Active

Practice location

65 Cooper St
Agawam, MA 01001-2149

Call (413) 786-8000 Map

Mailing address

1869 Craig Park Ct
St. Louis, MO 63146-4122

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000XNone listed

Skilled Nursing Facility: (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 r…

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About NPI 1417852245

Agawam South Operating LLC's National Provider Identifier is 1417852245, issued on Oct 12, 2026. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Agawam, MA. The record was last updated on Oct 12, 2026.