SENIOR RESIDENTIAL CARE/WORCESTER, INC. (NPI# 1962451542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962451542 |
| Entity Type | Organization |
| Organization Name | SENIOR RESIDENTIAL CARE/WORCESTER, INC. |
| Other Organization Name | WINGATE AT WORCESTER |
| Practice Address |
59 Acton St Worcester MA 01604-4829 |
| Mailing Address |
63 Kendrick St Needham MA 02494-2708 |
| Practice Telephone | 5087913147 |
| Practice Fax Number | 5087536267 |
| Mailing Telephone | 7817079085 |
| Mailing Fax Number | 7817079285 |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2014-10-21 |
| Authorized Official Name | MS. TAMILYN M. LEVIN (CFO) |
| Authorized Official Telephone | 7817079510 |
| Authorized Official Credential | ESQ. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 282E00000X | Long Term Care Hospital | 0723 | MA | Hospitals |
| Y | 314000000X | Skilled Nursing Facility | 0723 | MA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110026673B | 05 | |
| NY | 00880364 | 05 | |
| NY | 00880373 | 05 | |
| NY | 02998176 | 05 | |
| NY | 00312074 | 05 | |
| NJ | 0068047 | 05 | |
| MA | 110026673A | 05 | |
| NH | 30103097 | 05 | |
| CT | 000026450 | 05 |
| Other Name | Type Code |
|---|---|
| Wingate at Worcester | Doing Business As Name - Organization |
| Street Address |
59 ACTON ST |
| City | WORCESTER |
| State | MA |
| Zip Code | 01604-4829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033679253 | Jeffrey Spors | Physical Therapist | 59 Acton St, Worcester, MA 01604-4829 | 2019-03-22 |
| 1619437019 | Bear Mt Worcester LLC | Skilled Nursing Facility | 59 Acton St, Worcester, MA 01604-4829 | 2019-03-21 |
| 1427455245 | Elizabeth Welch | Speech-Language Pathologist | 59 Acton St, Worcester, MA 01604-4829 | 2014-11-21 |
| 1528339264 | Rehabcare Group East, LLC | Clinic/Center | 59 Acton St, Worcester, MA 01604 | 2012-01-25 |
| 1134498678 | William Engmann | Physical Therapist | 59 Acton St, Worcester, MA 01604-4829 | 2011-12-28 |
| 1316215114 | Abigail Lamb Seeley | Occupational Therapist | 59 Acton St, Worcester, MA 01604-4829 | 2011-12-07 |
| 1629286414 | Lynn A Mccrea | Occupational Therapy Assistant | 59 Acton St, Worcester, MA 01604-4829 | 2007-05-18 |
| 1780897819 | Helaine Rubin-green | Speech-Language Pathologist | 59 Acton St, Worcester, MA 01604-4829 | 2007-05-07 |
| 1760695803 | Carol Elizabeth O'shea | Occupational Therapist | 59 Acton St, Worcester, MA 01604-4829 | 2007-05-07 |
| 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 | 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 |
| 1366500498 | Chs of Worcester, Inc | Skilled Nursing Facility | 39 Queen St, Worcester, MA 01610-2433 | 2006-12-04 |
| 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 |
| 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.