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NOTRE DAME HEALTH CARE CENTER INC. NPI 1689796195


NPI Information

NPI: 1689796195
Provider Name: NOTRE DAME HEALTH CARE CENTER, INC.

Doing Business As: NOTRE DAME ASSISTED LIVING FACILITY

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 22D2245765

Address:
555 PLANTATION ST
WORCESTER, MA
ZIP 01605
Phone: (508) 852-5800
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NOTRE DAME HEALTH CARE CENTER, INC. is an assisted living facility in Worcester, MA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. NOTRE DAME HEALTH CARE CENTER, INC. NPI is 1689796195. The provider is registered as an organization entity type.
The provider Is Doing Business As Notre Dame Assisted Living Facility.

The provider's business location address is:

555 PLANTATION ST
WORCESTER, MA
ZIP 01605-376
Phone: (508) 852-5800
Fax: (508) 852-1700

The provider's authorized official is Margaret B Coffin .
The authorized official title is Executive Director and has the following contact phone number (508) 852-5800.

The CLIA number assigned to this NPI record is 22D2245765 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/4/2007 and was last updated on 6/16/2018.


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
1310400000XAssisted Living FacilityMASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11900030MEDICAIDMASSACHUSETTS

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: 4/28/2024

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.