Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Agawam South Operating LLC

Skilled Nursing Facility in Agawam, MA · enumerated 2026 · authorized official Nicholas Destefane, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1417852245

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Registry record

Entity type Organization (Type 2)

Legal business name Agawam South Operating LLC

Practice address 65 Cooper St, Agawam, MA, 01001

Phone (413) 786-8000

Enumeration date Oct 12, 2026

Last updated in NPPES Oct 12, 2026

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities Primary

Authorized official

Name Nicholas Destefane

Title Ceo

Phone (314) 543-3800

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2026-10-12. Verify at npiregistry.cms.hhs.gov.

Where is Agawam South Operating LLC located?

The practice location on file with NPPES is in Agawam, MA.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-10-12.