JOANN MCCLUSKEY NPI 1962870212

NPI Information

NPI: 1962870212
Provider Name: JOANN MCCLUSKEY
Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Individual

Specialization: Adult Care Home

Address:
52B WAYSIDE AVE
WEST SPRINGFIELD, MA
ZIP 01089
Phone: (413) 427-9980
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Joann Mccluskey is an adult care home custodial care facility in West Springfield, MA. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. Joann Mccluskey NPI is 1962870212. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

52B WAYSIDE AVE
WEST SPRINGFIELD, MA
ZIP 01089-316
Phone: (413) 427-9980

The enumeration date for this NPI number is 9/3/2015 and was last updated on 9/3/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	253J00000X	Foster Care Agency				No
2	311ZA0620X	Custodial Care Facility	Adult Care Home			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	MASS	MEDICAID	MASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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