Worcester Light, LLC

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

Legal business name

WORCESTER LIGHT, LLC

Doing business as

Anna Maria Rest Home

Practice address

1398 Main St
Worcester, MA 01603

Phone

(508) 756-1515

NPI assigned

Dec 10, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Steve Dashevsky

Title

Owner

Phone

(508) 756-1515

Specialties & licenses 1

Addresses

Other names 1

• Anna Maria Rest Home Doing business as

Locations

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

{
    "created_epoch": "1228867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228867200000",
    "number": "1245475847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1398 MAIN ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "01603",
            "telephone_number": "508-756-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1398 MAIN ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "01603",
            "telephone_number": "508-756-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORCESTER LIGHT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-10",
        "last_updated": "2008-12-10",
        "status": "A",
        "authorized_official_last_name": "DASHEVSKY",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-756-1515",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anna Maria Rest Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Custodial Care Facility in Worcester, MA
• Providers in Worcester, MA by specialty
• Custodial Care Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2008; 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.