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GODDARD/HOMESTEAD NPI 1912203217


NPI Information

NPI: 1912203217
Provider Name: GODDARD/HOMESTEAD

Doing Business As: HOMESTEAD HALL

Classification: Custodial Care Facility - 311Z00000X
Entity Type: Organization

CLIA Number: 22D2237443

Address:
10 HOMESTEAD AVENUE
WORCESTER, MA
ZIP 01610
Phone: (508) 755-7915
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GODDARD/HOMESTEAD is a custodial care facility in Worcester, MA. The provider is 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. GODDARD/HOMESTEAD NPI is 1912203217. The provider is registered as an organization entity type.
The provider Is Doing Business As Homestead Hall.

The provider's business location address is:

10 HOMESTEAD AVENUE
WORCESTER, MA
ZIP 01610
Phone: (508) 755-7915

The provider's authorized official is Margaret P. Naylor .
The authorized official title is Executive Director and has the following contact phone number (508) 753-4890.

The CLIA number assigned to this NPI record is 22D2237443 - other - rest home with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/3/2011 and was last updated on 2/3/2011.


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
1311Z00000XCustodial Care FacilityYes

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

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