Provider Demographics
NPI:1407842610
Name:AMHERST NURSING HOME, INC
Entity Type:Organization
Organization Name:AMHERST NURSING HOME, INC
Other - Org Name:CENTER FOR EXTENDED CARE AT AMHERST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-OWNER/ ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:E
Authorized Official - Last Name:MEYERS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:413-256-8185
Mailing Address - Street 1:150 UNIVERSITY DRIVE
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:MA
Mailing Address - Zip Code:01002
Mailing Address - Country:US
Mailing Address - Phone:413-256-8185
Mailing Address - Fax:413-256-0138
Practice Address - Street 1:150 UNIVERSITY DRIVE
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:MA
Practice Address - Zip Code:01002
Practice Address - Country:US
Practice Address - Phone:413-256-8185
Practice Address - Fax:413-256-0138
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-22
Last Update Date:2009-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA314000000X
314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0999954Medicaid
225420Medicare UPIN
MA0999954Medicaid