GODDARD/HOMESTEAD (NPI# 1912203217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912203217 |
| Entity Type | Organization |
| Organization Name | GODDARD/HOMESTEAD |
| Other Organization Name | HOMESTEAD HALL |
| Practice Address |
10 Homestead Avenue Worcester MA 01610 |
| Mailing Address |
1199 Main Street Worcester MA 01603 |
| Practice Telephone | 5087557915 |
| Mailing Telephone | 5087534890 |
| Mailing Fax Number | 5087971400 |
| Enumeration Date | 2011-02-03 |
| Last Update Date | 2011-02-03 |
| Authorized Official Name | MS. MARGARET P. NAYLOR (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5087534890 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311Z00000X | Custodial Care Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Homestead Hall | Doing Business As Name - Organization |
| Street Address |
10 HOMESTEAD AVENUE |
| City | WORCESTER |
| State | MA |
| Zip Code | 01610 |
| 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 |
| 1912173196 | Rahman Ullah | Dentist | Park Ave Dental Center, 456 Park Avenue, Worchester, MA 01610 | 2008-05-07 |
| 1508042144 | Kathleen Tamilo-awed | Acupuncturist | Acupuncture Associates of Worcester, 465 Park Avenue, Worcester, MA 01610 | 2008-01-14 |
| Find all providers in zip 01610 | ||||
| Taxonomy Code | 311Z00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. |
| Notes: Source: Paraphrased from Section 3159 A3 of the Medicare Intermediary Manual. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225577653 | Oasis At Dodge Park, LLC | Custodial Care Facility | 102 Randolph Rd, Worcester, MA 01606-2465 | 2017-02-17 |
| 1538156104 | Lange Rest Homes | Custodial Care Facility | 24 Chester St, Worcester, MA 01605-3121 | 2005-09-29 |
| 1093702664 | Lange Rest Homes | Custodial Care Facility | 572 Burncoat St, Worcester, MA 01605 | 2005-09-29 |
| 1285621854 | Lange Rest Homes | Custodial Care Facility | 453 Cambridge St, Worcester, MA 01610-2601 | 2005-09-29 |
| 1982849584 | Elita 7, LLC | Custodial Care Facility | 16 Marble St, Worcester, MA 01603 | 2008-12-10 |
| 1245475847 | Worcester Light, LLC | Custodial Care Facility | 1398 Main St, Worcester, MA 01603 | 2008-12-10 |
| 1639342843 | Willows At Worcester LLC | Custodial Care Facility | 101 Barry Rd, Worcester, MA 01609-1154 | 2008-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023588043 | Caregiver Homes of South Dakota Inc | Custodial Care Facility | 120 Saint James Ave Fl 4, Boston, MA 02116-5001 | 2018-12-03 |
| 1295169977 | Boston Nutrition Care | Custodial Care Facility | 51 Neponset Ave, Dorchester, MA 02122-3321 | 2013-08-29 |
| 1871817569 | Horn Home for Aged | Custodial Care Facility | 98 Smith St, Lowell, MA 01851-2614 | 2010-03-24 |
| 1114166188 | Oosterman Rest Home Inc. | Custodial Care Facility | 93 Laurel St, Melrose, MA 02176-4044 | 2009-02-13 |
| 1124267299 | Oosterman's Melrose Rest Home Inc. | Custodial Care Facility | 101 Laurel St, Melrose, MA 02176-4044 | 2009-02-13 |
| 1265608236 | Sophia Snow House, Inc. | Custodial Care Facility | 1215 Centre St, West Roxbury, MA 02132-7701 | 2008-04-30 |
| 1851579031 | Ez Home Care | Custodial Care Facility | 85 Alexander St, Dorchester, MA 02125-2727 | 2008-02-09 |
| 1891989000 | Davenport Memorial Foundation | Custodial Care Facility | 70 Salem St, Malden, MA 02148-5208 | 2007-08-30 |
| 1588783005 | Brookhaven Rest Home | Custodial Care Facility | W Main Street, W. Brookfield, MA 01585 | 2007-03-28 |
| 1376661835 | Maple Hill Rest Home Inc | Custodial Care Facility | 156 Mill St, Springfield, MA 01108-1022 | 2007-03-26 |
| Find all providers with the same taxonomy | ||||
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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.