Provider Demographics
NPI:1922097922
Name:SOMERSET LONGTERMCARE
Entity Type:Organization
Organization Name:SOMERSET LONGTERMCARE
Other - Org Name:POETS SEAT HEALTH CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:
Authorized Official - Last Name:CARNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-774-6318
Mailing Address - Street 1:359 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01301-2617
Mailing Address - Country:US
Mailing Address - Phone:413-774-6318
Mailing Address - Fax:413-773-0060
Practice Address - Street 1:359 HIGH ST
Practice Address - Street 2:
Practice Address - City:GREENFIELD
Practice Address - State:MA
Practice Address - Zip Code:01301-2617
Practice Address - Country:US
Practice Address - Phone:413-774-6318
Practice Address - Fax:413-773-0060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0928917Medicaid
MA0928917Medicaid