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SENIOR RESIDENTIAL CARE/WORCESTER INC. NPI 1962451542


NPI Information

NPI: 1962451542
Provider Name: SENIOR RESIDENTIAL CARE/WORCESTER, INC.

Doing Business As: WINGATE AT WORCESTER

Classification: Skilled Nursing Facility - 314000000X
Entity Type: Organization
Address:
59 ACTON ST
WORCESTER, MA
ZIP 01604
Phone: (508) 791-3147
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SENIOR RESIDENTIAL CARE/WORCESTER, INC. is a skilled nursing facility in Worcester, MA. The provider is (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. SENIOR RESIDENTIAL CARE/WORCESTER, INC. NPI is 1962451542. The provider is registered as an organization entity type.
The provider Is Doing Business As Wingate At Worcester.

The provider's business location address is:

59 ACTON ST
WORCESTER, MA
ZIP 01604-829
Phone: (508) 791-3147
Fax: (508) 753-6267

The provider's authorized official is Tamilyn M. Levin .
The authorized official title is Cfo and has the following contact phone number (781) 707-9510.

The enumeration date for this NPI number is 5/9/2006 and was last updated on 10/21/2014.


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
1282E00000XLong Term Care Hospital0723MASSACHUSETTSNo
2314000000XSkilled Nursing Facility0723MASSACHUSETTSYes

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
122-5219MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS
20068047MEDICAIDNEW JERSEY
302998176MEDICAIDNEW YORK
4110026673AMEDICAIDMASSACHUSETTS
500880373MEDICAIDNEW YORK
630103097MEDICAIDNEW HAMPSHIRE
700880364MEDICAIDNEW YORK
8000026450MEDICAIDCONNECTICUT
900312074MEDICAIDNEW YORK
10110026673BMEDICAIDMASSACHUSETTS

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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