CHS OF WORCESTER, INC (NPI# 1366500498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366500498 |
Entity Type | Organization |
Organization Name | CHS OF WORCESTER, INC |
Other Organization Name | ST. MARY HEALTH CARE CENTER |
Practice Address |
39 Queen St Worcester MA 01610-2433 |
Practice Telephone | 5087534791 |
Practice Fax Number | 5087490023 |
Mailing Telephone | 5087534791 |
Mailing Fax Number | 5087490023 |
Enumeration Date | 2006-12-04 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MRS. MICHELE L FLAMAND (BUSINESS OFFICE MANAGER) |
Authorized Official Telephone | 5087534791 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 314000000X | Skilled Nursing Facility | 0782 | MA | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | 0924474 | 05 |
Other Name | Type Code |
---|---|
St. Mary Health Care Center | Doing Business As Name - Organization |
Street Address |
39 QUEEN ST |
City | WORCESTER |
State | MA |
Zip Code | 01610-2433 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699244350 | Katherine Kalinowski | Occupational Therapist | 39 Queen St, Worcester, MA 01610-2433 | 2018-11-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881189355 | Amber Hall | Counselor | 26 Queen St, 6th Floor, Worcester, MA 01610 | 2018-06-27 |
1417401951 | Kelsey Moran | Counselor | 1 College Street, Box D, Worcester, MA 01610 | 2016-08-13 |
1245685809 | Walter Trisdale | Specialist/Technologist | One College St., College of The Holy Cross, Worcester, MA 01610 | 2016-05-02 |
1669866430 | Shannon Smith | Student in an Organized Health Care Education/Training Program | 26 Queen St, Ground Floor, Ambulatory Psychiatry Service, Ummmc, Worcester, MA 01610 | 2015-03-19 |
1063815348 | Terri Boettcher | Social Worker | 72 Jacques Street, Worcester, MA 01610 | 2014-10-01 |
1700222866 | Kalynn Lucashensky | Occupational Therapist | 105 Woodland St. Apt. A, Worcester, MA 01610 | 2013-05-16 |
1093053993 | Chrissy Marie Ryan | Registered Nurse | 26 Queen St 6th Floor, Flow Pact, Worcester, MA 01610 | 2013-01-28 |
1851681324 | Renaissance Adult Day Care, LLC | Clinic/Center | 1040 Southbridge Street, Worcester, MA 01610 | 2011-04-18 |
1912203217 | Goddard/homestead | Custodial Care Facility | 10 Homestead Avenue, Worcester, MA 01610 | 2011-02-03 |
1912173196 | Rahman Ullah | Dentist | Park Ave Dental Center, 456 Park Avenue, Worchester, MA 01610 | 2008-05-07 |
Find all providers in zip 01610 |
Taxonomy Code | 314000000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Skilled Nursing Facility |
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780738914 | Odd Fellows Home of Massachusetts, Inc | Skilled Nursing Facility | 104 Randolph Rd, Worcester, MA 01606-2465 | 2007-01-23 |
1366591919 | Salem Community Corporation | Skilled Nursing Facility | 87 Briarwood Cir, Worcester, MA 01606-1225 | 2007-01-10 |
1043262926 | Ggnsc Worcester LLC | Skilled Nursing Facility | 383 Mill St, Worcester, MA 01602-2414 | 2006-05-17 |
1013984871 | West Side Corporation | Skilled Nursing Facility | 35 Fruit St, Worcester, MA 01609-2198 | 2006-03-01 |
1669447959 | Houghton Corporation | Skilled Nursing Facility | 116 Houghton Street, Worcester, MA 01604-3997 | 2006-02-21 |
1396736930 | Notre Dame Health Care Center,inc | Skilled Nursing Facility | 559 Plantation St, Worcester, MA 01605-2350 | 2005-11-02 |
1467443374 | Saint Francis Home | Skilled Nursing Facility | 101 Plantation St, Worcester, MA 01604-3025 | 2005-10-31 |
1598755027 | Jewish Healthcare Center, Inc | Skilled Nursing Facility | 629 Salisbury St, Worcester, MA 01609-1120 | 2005-10-26 |
1437146503 | Worcester Ma Snf LLC | Skilled Nursing Facility | 119 Providence Street, Worcester, MA 01604 | 2005-10-04 |
1881689644 | University Commons Nursing Care Center Partn | Skilled Nursing Facility | 378 Plantation Street, Worcester, MA 01604 | 2005-09-16 |
Find all providers in WORCESTER |
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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.