Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Agawam South Rehab and Nursing LLC

Organization Skilled Nursing Facility · NPI 1639856461

Agawam South Rehab and Nursing LLC is a Skilled Nursing Facility in Agawam, Massachusetts. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

65 Cooper St
Agawam, MA 01001-2149
Phone: (413) 786-8000
Fax: (413) 306-6401
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X

Record details

NPI number1639856461
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Benjamin Friedman — Cfo · (845) 414-3300
NPI enumeratedJuly 3, 2023
Last updated in NPPESAugust 15, 2023
Certification dateAugust 15, 2023
Mailing address7b Medical Park Dr, Pomona, NY 10970-3516

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