Aloria of Worcester, LLC
Organization Active NPI Substance Abuse Rehabilitation Facility · Worcester, MA
NPI 1144769167 · NPPES record last updated Mar 7, 2022
Key facts
- NPI
- 1144769167
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Abuse Rehabilitation Facility 324500000X
- License
- 0358 (MA)
- Legal business name
- ALORIA OF WORCESTER, LLC
- Practice address
- 1183 Main St
Worcester, MA 01603 - Phone
- (201) 470-5749
- NPI assigned
- Feb 23, 2017
- Organization subpart
- No
Authorized official
- Name
- Scott M. Sasserson
- Title
- Chief Executive Officer
- Phone
- (931) 994-8001
Corporate family (same tax ID) 1
Practitioners 4
-
Melanie Fish Amir, LADC I
-
Philippe J Sioufi, M.D.
-
Mustafa Tai, M.D
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D2130692 | Washburn House | Certificate of waiver | May 15, 2027 |
| 22D2200146 | Aloria of Worcester, LLC Dba | Certificate of waiver | Nov 12, 2026 |
| 22D2200150 | Aloria of Worcester, LLC Dba | Certificate of waiver | Nov 12, 2026 |
National Provider Directory
- Tax ID family
- Aloria Health of Worcester LLC
Locations
1329 Main St
Worcester, MA 01603
Phone (508) 556-0794
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | |||
| Substance Abuse Rehabilitation Facility | 324500000X | 0358 | MA | Yes |
Addresses
Primary practice location
1183 Main St
Worcester, MA 01603
Mailing address
103 Powell CT Ste 100
Brentwood, TN 37027-5050
Phone (615) 308-7871
Other practice location 1
1398 Main St
Worcester, MA 01603-1524
Phone (508) 834-8599
Other practice location 2
1329 Main St
Worcester, MA 01603-1548
Phone (508) 834-8599
Other names
- Promises PATH - Worcester
- Washburn House
Other providers in Worcester, MA
- Ghada Abdulrahman Alonaizan
- Alvaro Alonso Aparicio
- Victoria Marie Alonso
- Israel Alonzo
- Aloria Health of Worcester, LLC
- Caroline J Alper
- Eric J Alper
- Jessica Alperin
- Brian Alperson
- Marcus Steven Alpert
All providers in Worcester, MA · Substance Abuse Rehabilitation Facility in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.