NPIMap

Organization Active NPI

The Commonwealth of Massachusetts

Doing business as Worcester Recovery Center & Hospital

  • Psychiatric Hospital
  • Worcester, MA
National Provider Identifier
1306903042
Registry record updated Apr 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
THE COMMONWEALTH OF MASSACHUSETTS
Doing business as
Worcester Recovery Center & Hospital
Practice address
309 Belmont St
Worcester, MA 01604-1695
Phone
(508) 368-4000
Fax
(508) 368-1502
NPI assigned
Jan 2, 2007
Last updated
Apr 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2023

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

Authorized official

Name
Kathy Wenzel
Title
Chief Executive Officer
Phone
(508) 368-3727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X NU Primary

Addresses

Primary practice location

309 Belmont St
Worcester, MA 01604-1695

Mailing address

309 Belmont St
Worcester, MA 01604-1695
Phone (508) 368-4000

Other identifiers 1

IdentifierTypeStateIssuer
1103121MedicaidMA

Other names 1

  • Worcester Recovery Center & Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120820000305 MA Part A Provider - Hospital 8820906860 Practice locations: Worcester, MA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306903042. Details of each certification follow.

Hospital certification: CCN 224032

Legal name
THE COMMONWEALTH OF MASSACHUSETTS
Doing business as
WORCESTER RECOVERY CENTER AND HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Jul 17, 1992
Last certification
Jul 13, 2011
Beds
166
Ownership / control type
State
Organization structure
OtherNon-profit
Enrollment address
309 Belmont St
Worcester, MA 16041059
Hospital Psychiatric Unit
Hospital subgroups
Other

Other NPIs with the same Medicare PAC ID 15

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

View all 15

Care Compare: Hospital

Medicare Care Compare
Listed as
Worcester Recovery Center and HospitalCCN 224032 · All quality measures
Type
Psychiatric
Ownership
Government - State
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory
Tax ID family
Worcester State147 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Kathleen Wenzel Individual Corporate Officer Jan 31, 2022
W-2 Managing Employee Jan 31, 2022
The Commonwealth of Massachusetts Organization, Boston, MA 5% Or Greater Direct Ownership Interest Jul 17, 1992 100%

Owners & managing parties with NPI records 15

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 15

All facility ownership & control disclosures 8

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Tewksbury HospitalTewksbury, MA, CCN 222003 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1966
Lemuel Shattuck HospitalJamaica Plain, MA, CCN 222006 Hospital Operational/Managerial Control (100%) Jul 1, 1966
Dr. John C Corrigan Mental Health CenterFall River, MA, CCN 224028 Hospital 5% Or Greater Direct Ownership Interest (100%) Feb 2, 1989
Solomon Carter Fuller Mental Health CenterBoston, MA, CCN 224040 Hospital Operational/Managerial Control (100%) Dec 26, 2008
Cape Cod and the Islands Mental Health CenterPocasset, MA, CCN 224031 Hospital 5% Or Greater Direct Ownership Interest (100%) Feb 2, 1989
Taunton State HospitalTaunton, MA, CCN 224001 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1986
Massachusetts Veterans' Home in ChelseaChelsea, MA, CCN 225110 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Mar 1, 2023
Jul 1, 1966
Massachusetts Veterans' Home of HolyokeHolyoke, MA, CCN 225786 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 May 6, 2025
May 6, 2025

Owned or controlled facilities with NPI records 10

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 8

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

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682035200000",
    "number": "1306903042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 BELMONT ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016041695",
            "telephone_number": "508-368-4000",
            "fax_number": "508-368-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 BELMONT ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016041695",
            "telephone_number": "508-368-4000",
            "fax_number": "508-368-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COMMONWEALTH OF MASSACHUSETTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A",
        "authorized_official_last_name": "WENZEL",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "508-368-3727"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1103121",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Worcester Recovery Center & Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Worcester Recovery Center & Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.