Provider Demographics
NPI:1912034091
Name:CHICOPEE ASSISTED LIVING LIMITED PARTNERSHIP
Entity Type:Organization
Organization Name:CHICOPEE ASSISTED LIVING LIMITED PARTNERSHIP
Other - Org Name:THE ARBORS AT CHICOPEE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-593-0088
Mailing Address - Street 1:929 MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:CHICOPEE
Mailing Address - State:MA
Mailing Address - Zip Code:01020-2981
Mailing Address - Country:US
Mailing Address - Phone:413-593-0088
Mailing Address - Fax:413-593-8866
Practice Address - Street 1:929 MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:CHICOPEE
Practice Address - State:MA
Practice Address - Zip Code:01020-2981
Practice Address - Country:US
Practice Address - Phone:413-593-0088
Practice Address - Fax:413-593-8866
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2008-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1905317OtherMASSHEALTH PROVIDER NUMBE