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Contact Information

SENIOR RESIDENTIAL CARE/WORCESTER, INC.
59 ACTON ST
WORCESTER, MA01604-4829
 Phone: 508-791-3147
 Fax: 508-753-6267
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Long Term Care Hospital

282E00000X A0[7] Hospital-Long-Term (PPS excluded)
Indicates primary specialty

NPI Profile & details for SENIOR RESIDENTIAL CARE/WORCESTER, INC.

NPI # 1962451542
LBN Legal business name SENIOR RESIDENTIAL CARE/WORCESTER, INC.
Authorized official TAMILYN LEVIN - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 05/09/2006
Last updated 10/21/2014 - About 12 years ago
Identifiers
MA License # 0723
CT Medicaid 000026450
MA Medicaid 110026673A
MA Medicaid 110026673B
NH Medicaid 30103097
NJ Medicaid 0068047
NY Medicaid 00312074
NY Medicaid 00880364
NY Medicaid 00880373
NY Medicaid 02998176
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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