Organization Active NPI

Worcester Collation for People Living With HIV & AIDS

  • Case Management Agency
  • Worcester, MA
National Provider Identifier
1073853438
Registry record updated Feb 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
WORCESTER COLLATION FOR PEOPLE LIVING WITH HIV & AIDS
Practice address
94 Woodland St
Worcester, MA 01610-1371
Phone
(508) 797-2271
NPI assigned
Feb 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Michael John Larson
Title
President
Phone
(508) 797-2271

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X
Case Management Agency 251B00000X Primary
Home Health Agency 251E00000X

Addresses

Primary practice location

94 Woodland St
Worcester, MA 01610-1371

Mailing address

94 Woodland St
Worcester, MA 01610-1371
Phone (508) 797-2271

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1361491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361491200000",
    "number": "1073853438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 WOODLAND ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016101371",
            "telephone_number": "508-797-2271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 WOODLAND ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016101371",
            "telephone_number": "508-797-2271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORCESTER COLLATION FOR PEOPLE LIVING WITH HIV & AIDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-22",
        "last_updated": "2013-02-22",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-797-2271",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.