Lange Rest Homes

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

License

838 Issued in MA

Legal business name

LANGE REST HOMES

Doing business as

Dalton Rest Home

Practice address

453 Cambridge St
Worcester, MA 01610-2601

Phone

(508) 255-6404

Fax

(508) 753-8770

NPI assigned

Sep 29, 2005

Organization subpart

No

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

Authorized official

Name

Mr. William John Lange, ADMINISTRATOR

Title

Administrator

Phone

(508) 755-6404

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dalton Rest Home Doing business as

Tax ID family

Burncoat Plains Rest Home3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Lange Rest Homes

  dba Burncoat Plains Rest Home

  • Custodial Care Facility
  • Worcester, MA
  • NPI 1093702664
  NPD tax ID
• Lange Rest Homes

  dba Winter Hill Rest Home

  • Custodial Care Facility
  • Worcester, MA
  • NPI 1538156104
  NPD tax ID

Locations

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285621854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "453 CAMBRIDGE ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016102601",
            "telephone_number": "508-255-6404",
            "fax_number": "508-753-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "453 CAMBRIDGE ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016102601",
            "telephone_number": "508-255-6404",
            "fax_number": "508-753-8770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANGE REST HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LANGE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "508-755-6404",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "MA",
            "license": "838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5507286",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dalton Rest Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pamela J Lane, CNP
• Margaret Catherine Laneri, PH.D.
• Donna Lang
• Quinton Lang
• Lange Rest Homes (Burncoat Plains Rest Home)
• Lange Rest Homes (Winter Hill Rest Home)
• Rebecca Lange, APRN
• Sarah Christine Langenfeld, MD
• Carolyn S Langer, M.D.
• Ginette Langer, PHD

• 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 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.