LIVING IN FREEDOM TOGETHER LIFT INC (NPI# 1104469592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104469592 |
Entity Type | Organization |
Organization Name | LIVING IN FREEDOM TOGETHER LIFT INC |
Other Organization Name | JANA'S PLACE |
Practice Address |
40 Mendon St Worcester MA 01604-4824 |
Mailing Address |
34 Cedar St Ste 301 Worcester MA 01609-2560 |
Practice Telephone | 5087629660 |
Mailing Telephone | 5087629660 |
Mailing Fax Number | 5087629620 |
Enumeration Date | 2019-10-18 |
Last Update Date | 2020-03-04 |
Authorized Official Name | COURTNEY ROSS (CHIEF OPERATING OFFICER) |
Authorized Official Telephone | 6173120848 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 276400000X | Rehabilitation, Substance Use Disorder Unit | Hospital Units | ||
N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities | ||
Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
Other Name | Type Code |
---|---|
Jana's Place | Doing Business As Name - Organization |
Street Address |
40 MENDON ST |
City | WORCESTER |
State | MA |
Zip Code | 01604-4824 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942839832 | Nicole Elizabeth Lewandrowski | Student in an Organized Health Care Education/Training Program | Pathology-1 Innovation Drive, Biotech 3, Worcester, MA 01604 | 2020-04-03 |
1285123034 | Sandra Jean Golden | Social Worker | 240 Belmont Street, Worcester, MA 01604 | 2018-05-08 |
1669961348 | Cindy Truong Choe | Behavior Technician | 330 Southwest Cutoff Suite 203, Worcester, MA 01604 | 2018-05-08 |
1013412915 | Michelle Marie Gaudet | Behavioral Analyst | 330 Southwest Cutoff, Suite 203, Worcester, MA 01604 | 2018-03-24 |
1104336593 | Younghwa Kim | Counselor | 2 Granite Street, Worcester, MA 01604 | 2017-10-11 |
1134640857 | Desiree Oquendo | Developmental Therapist | 43 Dillon Street, Worcester, MA 01604 | 2017-07-03 |
1457803686 | Reliable Home Care Services | Foster Care Agency | 35a Houghton Strret, Worcester, MA 01604 | 2016-11-04 |
1639530876 | Emily Capstick | Counselor | 81 Plantation Steet, Worcester, MA 01604 | 2016-03-16 |
1144696519 | Christian Caban I | Developmental Therapist | 25 Orient St, Worcester, MA 01604 | 2015-08-19 |
1750770160 | Ayanna Ortiz | Developmental Therapist | 16 Bangor St, Worcester, MA 01604 | 2015-01-22 |
Find all providers in zip 01604 |
Taxonomy Code | 324500000X |
Grouping | Residential Treatment Facilities |
Classification | Substance Abuse Rehabilitation Facility |
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
Notes: [7/1/2003: modified title, modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912486622 | Aloria Health of Worcester, LLC | Substance Abuse Rehabilitation Facility | 1183 Main St, Worcester, MA 01603-2012 | 2018-08-13 |
1679019731 | Jeremiah's Inn Inc. | Substance Abuse Rehabilitation Facility | 1059 Main St, Worcester, MA 01603-2421 | 2017-01-13 |
1548579121 | Willis Center | Substance Abuse Rehabilitation Facility | 44 Front St, Fourth Floor, Worcester, MA 01608-1733 | 2010-09-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548874514 | Compass Recovery, LLC | Substance Abuse Rehabilitation Facility | 128 Meadow Rd, Longmeadow, MA 01106-3055 | 2020-09-07 |
1831708726 | Topsail Addiction Treatment, Inc. | Substance Abuse Rehabilitation Facility | 140 Haverhill St Ste 8, Andover, MA 01810-1504 | 2020-07-27 |
1700404464 | Aware Recovery Care of Massachusetts, LLC | Substance Abuse Rehabilitation Facility | 9 Damonmill Sq Ste 105, Concord, MA 01742-2858 | 2020-07-09 |
1679190748 | Baystate Recovery Services LLC | Substance Abuse Rehabilitation Facility | 950 Cummings Ctr Ste 106x, Beverly, MA 01915-6274 | 2020-07-06 |
1992331821 | Metanoia Recovery, LLC | Substance Abuse Rehabilitation Facility | 55 Concord St, North Reading, MA 01864-2640 | 2020-03-23 |
1205462124 | Rockland Recovery Treatment Centers, LLC | Substance Abuse Rehabilitation Facility | 884 Washington St Ste 100, Weymouth, MA 02189-1530 | 2020-03-23 |
1679055347 | The Coleman Institute of America, LLC | Substance Abuse Rehabilitation Facility | 30 Washington St Ste 300, Wellesley Hills, MA 02481-1935 | 2018-08-30 |
1992205207 | New England Aftercare Ministries, Inc. | Substance Abuse Rehabilitation Facility | 18 Summit St, Framingham, MA 01702-7363 | 2018-02-14 |
1316446297 | Hurley House, Inc. | Substance Abuse Rehabilitation Facility | 12 Lowell St, Waltham, MA 02453-5254 | 2018-02-07 |
1356865448 | Sober 4 Life Inc. | Substance Abuse Rehabilitation Facility | 244 County St, Attleboro, MA 02703-3501 | 2017-07-31 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.