Presentation Health Care Center

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

1CTR Issued in MA

Legal business name

PRESENTATION HEALTH CARE CENTER

Practice address

99 Church St
Leominster, MA 01453-3147

Phone

(978) 534-5692

NPI assigned

Apr 3, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Julia Ciccolini

Title

Administrator

Phone

(978) 534-5692

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356463335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 CHURCH ST",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014533147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 CHURCH ST",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014533147",
            "telephone_number": "978-534-5692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESENTATION HEALTH CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CICCOLINI",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "978-534-5692",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MA",
            "license": "1CTR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5503230",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Pozharny, F.N.P
• Nina Jean Pratt, RDN
• Preeminent Community Care LLC
• Destiny Jean Preeper
• Kelly Prendiville
• Alfride Prevost-Ricardo, PMHNP-BC
• Primero Salud Primary Care
• Carrie Provencal, PT
• Olga Libia Pulido, BS
• Victoria Quattrucci, PT

• Assisted Living Facility in Leominster, MA
• Providers in Leominster, MA by specialty
• Assisted Living 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.