65 Cooper Street Operations LLC
Skilled Nursing Facility in Agawam, MA. Organization (NPI-2).
Details
- NPI
- 1326220146
- Entity type
- Organization (NPI-2)
- Legal business name
- 65 Cooper Street Operations LLC
- Organization subpart
- No
- Enumeration date
- Dec 4, 2007
- Last updated
- Jul 19, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | 0055 | MA | Yes |
Other names
- Heritage Hall South (Doing Business As)
Practice location
65 Cooper StAgawam, MA 01001-2149
Phone 413-786-8000 · Fax 413-306-6401
Mailing address
101 E State StKennett Square, PA 19348-3109
Phone 610-925-4436 · Fax 610-925-4351
Authorized official
Jane Dropeskey
Corporate Manager
6109254231
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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