Provider Demographics
NPI:1669505822
Name:GREATER SPRINGFIELD SENIOR SERVICES
Entity Type:Organization
Organization Name:GREATER SPRINGFIELD SENIOR SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATION & FINANCE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:S
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-781-8800
Mailing Address - Street 1:66 INDUSTRY AVE
Mailing Address - Street 2:SUITE 9
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01104-3243
Mailing Address - Country:US
Mailing Address - Phone:413-781-8800
Mailing Address - Fax:
Practice Address - Street 1:66 INDUSTRY AVE
Practice Address - Street 2:SUITE 9
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01104-3243
Practice Address - Country:US
Practice Address - Phone:413-781-8800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1901923Medicaid