NPIMap

Organization Active NPI

New England Dream Center, Inc

  • Respite Care
  • Worcester, MA
National Provider Identifier
1114058807
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
Legal business name
NEW ENGLAND DREAM CENTER, INC
Practice address
5 Chestnut St
Worcester, MA 01609-2800
Phone
(508) 757-3333
Fax
(508) 845-0801
NPI assigned
Mar 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Wilfred Bard
Title
President
Phone
(508) 757-3333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X MA Primary

Addresses

Primary practice location

5 Chestnut St
Worcester, MA 01609-2800

Mailing address

5 Chestnut St
Worcester, MA 01609-2800
Phone (508) 757-3333

Other identifiers 2

IdentifierTypeStateIssuer
1906283MedicaidMA
VC0000187225OtherMAVENDOR CODE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114058807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CHESTNUT ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016092800",
            "telephone_number": "508-757-3333",
            "fax_number": "508-845-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CHESTNUT ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016092800",
            "telephone_number": "508-757-3333",
            "fax_number": "508-845-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ENGLAND DREAM CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARD",
        "authorized_official_first_name": "WILFRED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-757-3333",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1906283",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VENDOR CODE",
            "identifier": "VC0000187225",
            "state": "MA"
        }
    ],
    "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 Aug 22, 2020; 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.