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PLEASANT ACRES REST HOME INC NPI 1568458875


NPI Information

NPI: 1568458875
Provider Name: PLEASANT ACRES REST HOME, INC
Classification: Intermediate Care Facility, Mental Illness - 310500000X
Entity Type: Organization

CLIA Number: 22D2254491

Address:
107 E MOUNTAIN ST
WORCESTER, MA
ZIP 01606
Phone: (508) 853-8333
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PLEASANT ACRES REST HOME, INC is an intermediate care facility mental illness in Worcester, MA. The provider is a nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. PLEASANT ACRES REST HOME, INC NPI is 1568458875. The provider is registered as an organization entity type.

The provider's business location address is:

107 E MOUNTAIN ST
WORCESTER, MA
ZIP 01606-401
Phone: (508) 853-8333
Fax: (508) 852-5591

The provider's authorized official is Assunta Burn .
The authorized official title is Administrator and has the following contact phone number (508) 853-8333.

The CLIA number assigned to this NPI record is 22D2254491 - skilled nursing/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/22/2005 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310500000XIntermediate Care Facility, Mental IllnessYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.