NPIMap

Organization Active NPI

Umass Memorial Health Care, Inc.

  • Community Based Hospice Care Agency
  • Leominster, MA
National Provider Identifier
1104884642
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
7241 Issued in MA
Legal business name
UMASS MEMORIAL HEALTH CARE, INC.
Practice address
60 Hospital Rd
Leominster, MA 01453-2205
Phone
(978) 728-0621
Fax
(978) 798-3137
NPI assigned
May 3, 2006
Organization subpart
Yes
Parent organization
UMASS MEMORIAL HEALTH CARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Authorized official

Name
Arthur St. Germain
Title
Executive Director
Phone
(978) 798-3171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 7241 MA Primary

Addresses

Primary practice location

60 Hospital Rd
Leominster, MA 01453-2205

Mailing address

60 Hospital Rd
Leominster, MA 01453-2205
Phone (978) 728-0621

Other identifiers 7

IdentifierTypeStateIssuer
786419OtherMANETWORK HEALTH HOSPICE
110024329BMedicaidMA
6325OtherMAFALLON HOSPICE
221524OtherMDBCBS HOSPICE
702076OtherMAHAVARD PILGRIM HOSPICE
802737OtherMATUFTS HMO-HOSPICE
0604925MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040407000967 MA Part A Provider - Hospice 2961495643 Practice locations: Leominster, MA

Hospice certification: CCN 221524

Legal name
UMASS MEMORIAL HEALTH CARE, INC.
Doing business as
HEALTHALLIANCE HOME HEALTH AND HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Dec 19, 1989
Last certification
Aug 31, 2022
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationNon-profit
Incorporated
Dec 1, 1989 in MA
Enrollment address
60 Hospital Rd
Leominster, MA 01453-2205

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Health Alliance Home Health and HospiceCCN 221524
Ownership
Non-Profit
Certified
Dec 19, 1989
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D0068594Healthalliance Home Health and Hospice60 Hospital Drive, Leominster, MA 01453Certificate of waiverNov 17, 2027

National Provider Directory

National Provider Directory
Tax ID family
Health Alliance Home Health and Hospice2 organizations share this tax ID, including this one
Part of
Umass Memorial

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/communityhealthlink/r4/

Ownership & related parties

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Melissa Nicole Lennon Individual W-2 Managing Employee Jun 1, 2022
Lynn Morin Individual Corporate DirectorBoard of Trustees Secretary Apr 30, 2004
W-2 Managing EmployeeBoard of Trustees Secretary Apr 30, 2004
Michael a Mahan Individual Corporate DirectorBoard Member Nov 1, 2016 5.55%
Leslie Jane Bovenzi Individual Corporate DirectorBoard Member Jun 1, 2006 5.55%
Paul Mackinnon Individual Corporate OfficerCoo Sep 20, 2013 5.55%
Robert a Babineau Individual Corporate DirectorBoard Member Jun 1, 2004 5.55%
Umass Memorial Community Hospitals Organization, Worcester, MA Non-profit 5% Or Greater Direct Ownership Interest Jun 1, 1998 5%
Steven M McCue Individual Corporate OfficerCfo Oct 1, 2019
Anthony Mercadante Individual Corporate DirectorBoard Member Jan 1, 2000 5.55%
Mary Whitney Individual Corporate DirectorBoard Member Jun 1, 2006 5.55%
Central New England Healthalliance, Inc. Organization, Leominster, MA Non-profit Operational/Managerial Control Nov 7, 1994 5%
Dix Davis Individual Corporate DirectorBoard Member Feb 1, 2016 5.55%
Umass Memorial Health Care, Inc. Organization, Leominster, MA Non-profit 5% Or Greater Direct Ownership Interest Jun 1, 1998 90%
Sandra R. Layport Individual W-2 Managing EmployeeDirector of Finance Oct 1, 2017

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Affiliated clinicians 18

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649116800000",
    "number": "1104884642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 HOSPITAL RD",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014532205",
            "telephone_number": "978-728-0621",
            "fax_number": "978-537-0134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 HOSPITAL RD",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014532205",
            "telephone_number": "978-728-0621",
            "fax_number": "978-798-3137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UMASS MEMORIAL HEALTH CARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UMASS MEMORIAL HEALTH CARE, INC.",
        "enumeration_date": "2006-05-03",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A",
        "authorized_official_last_name": "ST. GERMAIN",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "978-798-3171"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MA",
            "license": "7241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NETWORK HEALTH HOSPICE",
            "identifier": "786419",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110024329B",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON HOSPICE",
            "identifier": "6325",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS HOSPICE",
            "identifier": "221524",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAVARD PILGRIM HOSPICE",
            "identifier": "702076",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HMO-HOSPICE",
            "identifier": "802737",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0604925",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leominster, MA

Sources for this page

Verify at the official NPI Registry.