Provider Demographics
NPI:1467442012
Name:RING HEALTHCARE CENTER
Entity Type:Organization
Organization Name:RING HEALTHCARE CENTER
Other - Org Name:RADIUS RING OPERATING LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:ACCOUNTS RECEIVABLE REGIONAL MGR
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:
Authorized Official - Last Name:DECOTEAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-335-3318
Mailing Address - Street 1:215 BICENTENNIAL HWY
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01118-1962
Mailing Address - Country:US
Mailing Address - Phone:413-796-7511
Mailing Address - Fax:413-782-0798
Practice Address - Street 1:215 BICENTENNIAL HWY
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01118-1962
Practice Address - Country:US
Practice Address - Phone:413-796-7511
Practice Address - Fax:413-782-0798
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA0899314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0928054Medicaid
MA0928054Medicaid
MA225392Medicare ID - Type UnspecifiedMEDICARE PROV NUMBER